Provider Demographics
NPI:1063790103
Name:DAMAN, HEATHER MICHELLE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:MICHELLE
Last Name:DAMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
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Mailing Address - Street 1:135 GOSHEN ROAD EXT
Mailing Address - Street 2:SUITE 206
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-5567
Mailing Address - Country:US
Mailing Address - Phone:877-826-1509
Mailing Address - Fax:912-826-9767
Practice Address - Street 1:2451 US HIGHWAY 17
Practice Address - Street 2:SUITE B
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-3397
Practice Address - Country:US
Practice Address - Phone:912-459-2230
Practice Address - Fax:912-459-2240
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2014-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GAPT010155225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist