Provider Demographics
NPI:1447731351
Name:HEIM, DANIEL WARREN (DPT)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:WARREN
Last Name:HEIM
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-2722
Mailing Address - Country:US
Mailing Address - Phone:717-245-2187
Mailing Address - Fax:717-240-1222
Practice Address - Street 1:1000 W SOUTH ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-2722
Practice Address - Country:US
Practice Address - Phone:717-245-2187
Practice Address - Fax:717-240-1222
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023019208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation