Provider Demographics
NPI:1518465509
Name:SZETELA-HECKA, IWONA (PT)
Entity Type:Individual
Prefix:
First Name:IWONA
Middle Name:
Last Name:SZETELA-HECKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:139 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:TILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03276-5415
Mailing Address - Country:US
Mailing Address - Phone:603-493-0665
Mailing Address - Fax:
Practice Address - Street 1:139 WINTER ST
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5415
Practice Address - Country:US
Practice Address - Phone:603-493-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1917225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist