Individual
JOSHUA DANIEL HEINLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
405 W 5TH ST, SANTA ANA, CA 92701-4599
(714) 834-7336
Mailing address
61 SANDCASTLE, ALISO VIEJO, CA 92656-3834
(443) 752-5094
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
296924
CA
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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