Matt Heineman

NPI #1013637123 in Bethlehem, Pennsylvania

Provider Information

NPI Number: 1013637123
Entity Type: Individual
Name: Matt Heineman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2022
Last Updated: Aug 30, 2022

Practice Location

Address: 1417 8TH AVE
City: Bethlehem
State: Pennsylvania
ZIP Code: 18018-2256
Phone: (484) 526-4781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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