| Doctor Name: | JEFFREY R. HEINTZ |
| NPI Number: | 1013000322 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS, PT, ATC, CSCS |
| License Number: | 002748 |
| Business Practice Address: | 400 Main St Medical Dept., Ms 124-10 East Hartford, CT - 061080968 |
| Business Phone Number: | 8605651089 |
| Business Fax Number: | 8605656348 |
| Mailing Address: | 1 W Dayton Hill Rd, WALLINGFORD |
| State: | CT |
| Postal Code: | 064925307 |
| Phone Number: | 8605651089 |
| Fax Number: | 8605656348 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 002748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |