MR. Donald Gary Heacock, P.T.
NPI #1023022324 in Glen Burnie, Maryland
Provider Information
- NPI Number
- 1023022324
- Entity Type
- Individual
- Name
- MR. Donald Gary Heacock, P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Jul 29, 2006
- Last Updated
- May 7, 2020
Practice Location
- Address
- 7310 RITCHIE HWY
- Address 2
- SUITE 500
- City
- Glen Burnie
- State
- Maryland
- ZIP Code
- 21061-3065
- Phone
- (410) 766-4435
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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