MAKENZIE ALYCE HEISDORF

SAN CLEMENTE, CA
NPI1104861327
Former NameMAKENZIE OSBORNE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT27882)
Enumeration Date2006-06-19
Last Update Date2020-12-14
Business Address
Dr. MAKENZIE ALYCE HEISDORF DPT
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673-2808
Phone number: 949-496-0122
Mailing Address
Dr. MAKENZIE ALYCE HEISDORF DPT
653 CAMINO DE LOS MARES STE 110
SAN CLEMENTE, CA 92673-2808
Phone number: 949-496-0122
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