Makenzie Alyce Heisdorf, DPT Valid NPI

Individual provider · Physical Therapist · San Clemente, CA

NPI

1104861327

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

PT27882 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-19

Last updated

2020-12-14