IDA L CORYELL HIRST

PLEASANTON, CA
NPI1194876839
Former NameIDA LOUISE HIRST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  PT13904)
Enumeration Date2007-01-16
Last Update Date2016-11-29
Business Address
-- IDA L CORYELL HIRST P.T.
3908 VALLEY AVE STE. B
PLEASANTON, CA 94566-4872
Phone number: 925-417-8005
Mailing Address
-- IDA L CORYELL HIRST P.T.
3908 VALLEY AVE. STE. B
PLEASANTON, CA 94566
Phone number: 925-417-8005