Individual
MS. GABRIELLE ELIZABETH HECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
225 SCHAEFER CT, JEFFERSON CITY, MO 65101-3986
(573) 680-6602
Mailing address
225 SCHAEFER CT, JEFFERSON CITY, MO 65101-3986
(573) 680-6602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2017029237
MO
Other
Enumeration date
09/19/2017
Last updated
09/19/2017
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