Donald Heacock, P.T

NPI 1023022324 · on the registry since 2006

Practice

Address: 7310 Ritchie Hwy
Suite 500
Glen Burnie, MD 21061
Phone: (410) 766-4435
Fax: (410) 766-4437
Organisation at this address: Ivory Inc
Ivory Inc
Keyona Llc
Medmart Inc
Kena Rae Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 102

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: MD
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-05-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland