Individual
JESSICA GULLEY HECKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
548 WHITE OAKS DR APT 301, SALISBURY, NC 28147-8188
(704) 636-0271
Mailing address
1012 CHADBOURNE AVE NW, CONCORD, NC 28027-7870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15447
NC
Other
Enumeration date
03/10/2015
Last updated
11/10/2020
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