Individual
REBECCA HETTERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
106 ROUTE 66 E, COLUMBIA, CT 06237-1224
(860) 228-0194
(860) 228-2694
Mailing address
106 ROUTE 66 E, COLUMBIA, CT 06237-1224
(860) 228-0194
(860) 228-2694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008781
CT
Other
Enumeration date
04/16/2010
Last updated
04/16/2010
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