person
Ms. Chalena R Hetznecker, CMF
Mastectomy Fitter in Deland, Florida
NPI 1104008895

Chalena R Hetznecker is a Mastectomy Fitter based in Deland, FL. Chalena R Hetznecker practices in Deland, FL and has the professional credentials of CMF. The NPI Number for Chalena R Hetznecker is 1104008895 and holds a License No. (Florida).

The current practice location address for Chalena R Hetznecker is 929 N Spring Garden Ave Ste 120, Deland, FL and can be reached out via phone at 877-337-7465 and via fax at 877-793-4945.

Location: 929 N Spring Garden Ave Ste 120, Deland, FL, 32720-0900
person
Provider Profile Details
NPI Number
1104008895
Provider Name
Chalena R Hetznecker
Credential
CMF
Provider Entity Type
Individual
Gender
Female
Address
929 N Spring Garden Ave Ste 120, Deland, FL, 32720-0900
Phone Number
877-337-7465
Fax Number
877-793-4945
Provider Enumeration Date
12/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000836756O 01 FL AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS,PROSTHETICS & PEDORTHICS, INC
institution
Provider Business Practice Location Address Details
Address
929 N Spring Garden Ave Ste 120
City
State
Zip
32720-0900
Phone Number
877-337-7465
Fax Number
877-793-4945
person
Provider Business Mailing Address Details
Address
929 N Spring Garden Ave Ste 120
City
State
Zip
32720-0900
Phone Number
877-337-7465
Fax Number
877-793-4945
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
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