Heather Koder, PTA
NPI #1285435172 in Great Lakes, Illinois
Provider Information
- NPI Number
- 1285435172
- Entity Type
- Individual
- Name
- Heather Koder, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other
- Credential
- PTA
- Enumeration Date
- Mar 24, 2025
- Last Updated
- Mar 24, 2025
Practice Location
- Address
- USS TRANQUILITY 3410 ILLINOIS ST
- City
- Great Lakes
- State
- Illinois
- ZIP Code
- 60088
- Phone
- (224) 392-6914
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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