Individual provider · NPI-1

Heather Kristine Bledsoe, DPT

Physical Therapist, Pediatrics · Mission Viejo, CA

NPI number1215206255
StatusActive
Last updated in NPPESJun 9, 2026

Details

NPI
1215206255
Entity type
Individual (NPI-1)
Name
Heather Kristine Bledsoe
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Dec 20, 2011
Certification date
Jun 9, 2026
Last updated
Jun 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251P0200X Physical Therapist, Pediatrics38568CAYes

Practice location

25631 Peter A Hartman Way
Mission Viejo, CA 92691-3142

Phone 949-586-1234

Mailing address

25631 Peter A Hartman Way
Mission Viejo, CA 92691-3142

Phone 949-586-1234

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