Provider Demographics
NPI:1780639732
Name:HEIL, BARBARA BACON (PT)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:BACON
Last Name:HEIL
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 1:3 FEATHER HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-1846
Mailing Address - Country:US
Mailing Address - Phone:203-227-5888
Mailing Address - Fax:
Practice Address - Street 1:3 FEATHER HILL RD
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-1846
Practice Address - Country:US
Practice Address - Phone:203-227-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007477225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist