| Organization Name: | RODNEY R. HESCHONG, RPT, INC. |
| NPI Number: | 1063520724 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODNEY R HESCHONG (OWNER / PHYSICAL THERAPIST) |
| Mailing Address: | 619 E Blithedale Ave Suite B Mill Valley |
| State: | CA US |
| Postal Code: | 949411468 |
| Phone Number: | 4153885223 |
| Fax Number: | 4153885270 |
| NPI Enumeration Date: | 08/25/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 00PT84220 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |