Individual
MELANIE DAWN HECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
607 HEARTHSTONE LN, MOUNT JOY, PA 17552-9687
(717) 492-9692
(717) 653-2083
Mailing address
501 S 4TH ST, DENVER, PA 17517-1131
(717) 587-0049
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002800L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568873537
—
PA
Enumeration date
06/25/2018
Last updated
06/25/2018
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