Individual
PAMELA J HIETANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
25001 EMERY RD, WARRENSVILLE HEIGHTS, OH 44128-5626
(216) 285-4070
(216) 201-5230
Mailing address
25001 EMERY RD STE 100, WARRENSVILLE HEIGHTS, OH 44128-5627
(216) 285-4070
(216) 201-5230
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA.09434
OH
225700000X
Massage Therapist
Primary
33.013261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154711893
SELF-PAY
OH
Enumeration date
02/03/2015
Last updated
03/17/2018
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