Provider Demographics
NPI:1538418181
Name:MORGENSTERN, HEATHER LOUZANIE (DPT)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LOUZANIE
Last Name:MORGENSTERN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4718 NARROT ST
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90503-1436
Mailing Address - Country:US
Mailing Address - Phone:310-953-2920
Mailing Address - Fax:
Practice Address - Street 1:4718 NARROT ST
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-1436
Practice Address - Country:US
Practice Address - Phone:310-953-2920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2015-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034227-1225100000X
CA40290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist