Individual
TIFFANY DAWN HECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1101 MAPLE CARE LN, STATESVILLE, NC 28625-8406
(704) 871-0705
Mailing address
1101 MAPLE CARE LN, STATESVILLE, NC 28625-8406
(704) 871-0705
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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