Individual
EVELYN MAE PETERSON HETHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
300 E MAIN ST, HUMMELSTOWN, PA 17036-1725
(717) 566-6486
(717) 566-8548
Mailing address
300 E MAIN ST, HUMMELSTOWN, PA 17036-1725
(717) 566-6486
(717) 566-8548
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000777
PA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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