Provider Demographics
NPI:1295852218
Name:HEED, SYLVIA ANN KERSTIN (PT)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:ANN KERSTIN
Last Name:HEED
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 S US HIGHWAY 1
Mailing Address - Street 2:E-102
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477-8436
Mailing Address - Country:US
Mailing Address - Phone:561-748-6794
Mailing Address - Fax:
Practice Address - Street 1:1605 S US HIGHWAY 1
Practice Address - Street 2:E-102
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-8436
Practice Address - Country:US
Practice Address - Phone:561-748-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL19053225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist