Individual
FALLON HEDDINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 GROVANIA DR, BLOOMSBURG, PA 17815-9608
(570) 490-8537
Mailing address
311 GROVANIA DR, BLOOMSBURG, PA 17815-9608
(570) 490-8537
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PA025517
PA
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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