Individual
BRIAN KENNETH HECKELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7264 NASH RD, NORTH TONAWANDA, NY 14120-1508
(716) 694-7700
Mailing address
7264 NASH RD, NORTH TONAWANDA, NY 14120-1508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021891-1
NY
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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