DACOSTA ALONZO COLLYMORE

CULVER CITY, CA
NPI1568497659
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  20709)
Enumeration Date2006-07-11
Last Update Date2007-07-09
Business Address
-- DACOSTA ALONZO COLLYMORE RPT
5000 OVERLAND AVE STE 4
CULVER CITY, CA 90230-4995
Phone number: 310-836-7650
Mailing Address
-- DACOSTA ALONZO COLLYMORE RPT
5000 OVERLAND AVE STE 4
CULVER CITY, CA 90230-4995
Phone number: 310-836-7650
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