Individual
MS. CHALENA R HETZNECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.F.
Contact information
Practice address
929 N SPRING GARDEN AVE STE 120, DELAND, FL 32720-0900
(877) 337-7465
(877) 793-4945
Mailing address
929 N SPRING GARDEN AVE STE 120, DELAND, FL 32720-0900
(877) 337-7465
(877) 793-4945
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000836756O
AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS,PROSTHETICS & PEDORTHICS, INC
FL
Enumeration date
12/04/2007
Last updated
06/15/2023
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