Individual
MARIANNE HEETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 925-2352
Mailing address
953 MADISON AVE, SOUTHAMPTON, PA 18966-4125
(215) 396-2724
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI000228
PA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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