Jessica Laura Hettler, DPT, ATC, CERT MDT

NPI #1225104656 in East Rockaway, New York

Provider Information

NPI Number: 1225104656
Entity Type: Individual
Name: Jessica Laura Hettler, DPT, ATC, CERT MDT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: DPT, ATC, CERT MDT
Enumeration Date: Nov 28, 2006
Last Updated: Apr 27, 2021

Practice Location

Address: 23 RHAME AVE
City: East Rockaway
State: New York
ZIP Code: 11518-1445
Phone: (516) 641-7364

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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