Individual
MR. CHRISTOPHER PATRICK HECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
SOUTH EAST IOWA PHYSICAL THERPAY, 115 S WASHINGTON ST, OTTUMWA, IA 52501-2531
(641) 682-8171
(641) 682-9054
Mailing address
SOUTH EAST IOWA PHYSICAL THERPAY, 115 S WASHINGTON ST, OTTUMWA, IA 52501-2531
(641) 682-8171
(641) 682-9054
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00279
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665349
—
IA
01
—
6-6534
BCBS GROUP PROVIDER NUMBE
IA
Enumeration date
10/10/2005
Last updated
07/09/2007
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