Doctor Name: | MR. STEPHEN FRANCIS HETZEL |
NPI Number: | 1053318816 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, OCS, ATC |
License Number: | PT003652L |
Business Practice Address: | 1940 N 13th St Suite 130 Reading, PA - 196041539 |
Business Phone Number: | 6109210609 |
Business Fax Number: | 6109212652 |
Mailing Address: | 12 Harry Ave, READING |
State: | PA |
Postal Code: | 196079764 |
Phone Number: | 6107753064 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT003652L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |