Most Relevant Information
Provider Data
| NPI Number: | 1003067893 |
| Provider Name: | HEATHER MARIE GOUTERMONT PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 8187 |
Most Important Dates
| Enumeration Date: | 10/10/2008 |
| Last Updated: | 03/18/2016 |
Provider Practice Location
45 BANKS BLVD
SILVER BAY
MN
556141337
Practice Location Phone/Fax
| Phone: | 2183538682 |
| Fax: | 2182266336 |
Provider Mailing Location
45 BANKS BLVD
SILVER BAY
MN
556141337
Provider Mailing Phone/Fax
| Phone: | 2183538682 |
| Fax: | 2182266336 |