Individual
ANGELA HECKSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 287-5991
Mailing address
2158 ANTEBELLUM CT NW, GRAND RAPIDS, MI 49504-5956
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015427
MI
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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