Individual
HELEN CORINNE HETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2342
(740) 815-2047
Mailing address
401 N FAIRVIEW ST, LOCK HAVEN, PA 17745-2342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004982
PA
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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