DR. Makenzie Alyce Heisdorf, DPT

NPI #1104861327 in San Clemente, California

Provider Information

NPI Number: 1104861327
Entity Type: Individual
Name: DR. Makenzie Alyce Heisdorf, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 19, 2006
Last Updated: Dec 14, 2020

Practice Location

Address: 653 CAMINO DE LOS MARES STE 110
City: San Clemente
State: California
ZIP Code: 92673-2808
Phone: (949) 496-0122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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