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Individual
MARY HECKMAN
Active
Individual
MARY HECKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1339076
TX
2251G0304X
Geriatric Physical Therapist
1504
WY
2251G0304X
Geriatric Physical Therapist
6431
CT
Other
Enumeration date
08/04/2017
Last updated
02/20/2021
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