Individual
JOAN HETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5705 FAYETTEVILLE RD, DURHAM, NC 27713-5318
(919) 434-6171
Mailing address
505 TRYST LN, WAKE FOREST, NC 27587-1900
(919) 830-5452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3615
NC
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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