Provider Demographics
NPI:1073868014
Name:LAMPE, HEATHER MICHELLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:MICHELLE
Last Name:LAMPE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6410 ROCKLEDGE DR
Mailing Address - Street 2:STE 301
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1841
Mailing Address - Country:US
Mailing Address - Phone:301-897-0357
Mailing Address - Fax:301-897-2148
Practice Address - Street 1:211 S GULPH RD
Practice Address - Street 2:SUITE 300
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-3112
Practice Address - Country:US
Practice Address - Phone:610-265-2230
Practice Address - Fax:610-265-2240
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28527225100000X
PAPT022146225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist