Most Relevant Information
Provider Data
| NPI Number: | 1003184110 |
| Provider Name: | PHILLIP HEFNER |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 3457 |
Most Important Dates
| Enumeration Date: | 12/02/2011 |
| Last Updated: | 12/02/2011 |
Provider Practice Location
13825 HUNTON LN
HUNTERSVILLE
NC
280786190
Practice Location Phone/Fax
| Phone: | 7048972700 |
| Fax: |
Provider Mailing Location
2081 LITHIA SPRINGS RD
LINCOLNTON
NC
280924175
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |