Individual
JENNIFER RENEE HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10 SHERMAN ST, WELLSBORO, PA 16901-1829
(570) 723-6830
Mailing address
27 KENDRICK RD, COVINGTON, PA 16917-9556
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005754
PA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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