Individual
DWIGHT HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTC
Contact information
Practice address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-4291
Mailing address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-4291
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC005748L
PA
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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