Individual
MR. JOHN ANTHONY HECIMOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1099 HELMO AVE N STE 110, OAKDALE, MN 55128-6034
(651) 232-5075
(651) 232-5075
Mailing address
1099 HELMO AVE N STE 110, OAKDALE, MN 55128-6034
(651) 232-5075
(651) 232-5075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1272-24
WI
225100000X
Physical Therapist
Primary
1320
MN
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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