Individual ProviderHeidi Marie GagnePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address204 E South St Unit 5056, Orlando, FL 32801-3555(207) 651-0516PECOS EnrollmentBased on the most recent information from CMS, provider Heidi Marie Gagne does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1053501569Provider TypeIndividualFull NameGagne, Heidi MarieTitleMissCredentialMPTGenderFemaleSole ProprietorNoEnumeration Date7/31/2007Last Updated7/31/2007Contact InformationPractice LocationPractice Address204 E South St Unit 5056, Orlando, FL 32801-3555Phone(207) 651-0516FaxUnlisted FaxMailing LocationMailing Address204 E South St Unit 5056, Orlando, FL 32801-3555Phone(207) 651-0516FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT 21394Florida