Individual
EZEKIEL HEYDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1626 N LITCHFIELD RD STE 310, GOODYEAR, AZ 85395-1397
(623) 935-0734
Mailing address
9042 S 169TH DR, GOODYEAR, AZ 85338-4744
(978) 853-5973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-034092
AZ
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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