Individual
HEATHER NICOLE DERENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
488 N MAIN ST, SPRING GROVE, PA 17362-1122
(717) 690-0107
(717) 974-8743
Mailing address
4750 LINDLE RD STE 100, HARRISBURG, PA 17111-2428
(717) 803-3342
(717) 974-8743
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027106
PA
Other
Enumeration date
08/24/2018
Last updated
08/27/2024
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