Individual
JOSHUA DAVID HEILSHORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1708 ROYAL OAK DR, LEWIS CENTER, OH 43035-6088
(765) 661-3358
Mailing address
1708 ROYAL OAK DR, LEWIS CENTER, OH 43035-6088
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
04957
OH
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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