John Kwak-Hefferan
John Kwak-Hefferan is a Physical Therapy Assistant in Port Orange, Florida. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
5535 S Williamson Blvd Ste 774Port Orange, FL 32128-8311
Phone: (800) 330-7711
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence 160007217 (IL) |
|---|
Record details
| NPI number | 1316391014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 19, 2016 |
| Last updated in NPPES | April 19, 2016 |
| Mailing address | 5535 S Williamson Blvd, Suite 774, Port Orange, FL 32128-8311 |
Other providers in Port Orange
-
Wislyne Jean-Pierre
5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8321 · (888) 265-2680
-
Eric King
5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8311 · (888) 265-2680
-
Mark Kolb, PTA
1525 Herbert St Ste 103, Port Orange, FL 32129-6107 · (386) 756-0424
-
Nicole Krout, PTA
1525 Herbert St Ste 103, Port Orange, FL 32129-6107 · (386) 756-0424
-
Blake Laing
5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8311 · (800) 330-7711
-
Errol Lopez
3882 Sunset Cove Dr, Port Orange, FL 32129-1916 · (386) 631-0841
-
Travis Lowell
5535 S Williamson Blvd Ste 774, Port Orange, FL 32128-8311 · (800) 330-7711
-
Jeanna Katherine Marcussen
5535 S Williamson Blvd # 774, Port Orange, FL 32128-8311 · (800) 330-7711