| Doctor Name: | JENNIFER L. HECK |
| NPI Number: | 1477962785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 1140 Route 315 Suite 207 Wilkes-barre, PA - 18711 |
| Business Phone Number: | 5709700402 |
| Business Fax Number: | 5709700402 |
| Mailing Address: | 1140 Route 315, Suite 207 WILKES-BARRE |
| State: | PA |
| Postal Code: | 18711 |
| Phone Number: | 5709700402 |
| Fax Number: | 5709700402 |
| NPI Enumeration Date: | 08/12/2014 |
| NPI Last Update Date: | 08/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |