Individual
MR. JONATHAN HEIFETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2120 S GREEN RD STE 101, SOUTH EUCLID, OH 44121-3317
(216) 371-0660
Mailing address
2120 S GREEN RD STE 101, SOUTH EUCLID, OH 44121-3317
(216) 371-0660
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
LPO.00220
OH
224P00000X
Prosthetist
Primary
LPO.00220
OH
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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