Individual
HEATHER R SCULLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-3470
(440) 960-4678
Mailing address
3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-3470
(440) 960-4678
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34006017
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0236248
—
OH
05
—
2001569
—
OH
05
—
3025372
—
OH
Enumeration date
02/14/2006
Last updated
06/06/2023
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