Individual
MRS. HEATHER R HANCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
18101 LORAIN AVE, CLEVELAND, OH 44111-5612
(216) 476-7000
Mailing address
8211 COVINGTON AVE, PARMA, OH 44129-5324
(440) 845-1742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
REHABILITATION SERVICES
OH
Enumeration date
01/08/2007
Last updated
07/08/2007
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