Doctor Name: | TEODORICO HECKMAN |
NPI Number: | 1194101386 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT024682 |
Business Practice Address: | 1798 Plank Rd Ste 103 Duncansville, PA - 166358389 |
Business Phone Number: | 8146963400 |
Business Fax Number: | |
Mailing Address: | 921 Sonman Ave, Apt 2 PORTAGE |
State: | PA |
Postal Code: | 159461943 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/11/2015 |
NPI Last Update Date: | 08/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT024682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |