Individual
TAMMY HECKENDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1675 SALTSBURG AVE, INDIANA, PA 15701-3573
(724) 465-3900
Mailing address
1675 SALTSBURG AVE, INDIANA, PA 15701-3573
(724) 465-3900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008200
PA
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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