Surrett-Vestal, Heather

Surrett-Vestal, Heather is an individual health care provider with primary practice located at 120 Charlois Blvd , Winston Salem NC 27103-1562. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Surrett-Vestal, Heather can be contacted via phone (336) 765-5664.

Contact Information

Primary practice address

120 Charlois Blvd Winston Salem NC 27103-1562

Phone: (336) 765-5664

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant	225200000X

Profile Details

NPI number	1144399809
LBN Legal business name	Surrett-Vestal, Heather
Credentials
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Nov 7th, 2006
Last updated	Jul 8th, 2007 - about 18 years ago

¹ A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1144399809	NPPES
North Carolina	Other	3120	LICENSE#

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