Individual
MRS. HEIDI JEANINE CEKLOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
410 SUNSET RD, WAPWALLOPEN, PA 18660-1655
(570) 379-2385
(570) 379-2353
Mailing address
410 SUNSET RD, WAPWALLOPEN, PA 18660-1655
(570) 379-2385
(570) 379-2353
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT010847
PA
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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