Individual
TINA HEFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
108 N FOX RUN LN, BYRON, IL 61010-9597
(815) 234-2475
Mailing address
108 N FOX RUN LN, BYRON, IL 61010-9597
(815) 234-2475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000564
IL
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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