ALYSON RICHELE VASCONCELLOS

COSTA MESA, CA
NPI1699109116
Former NameALYSON RICHELE HOLD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  40380)
Enumeration Date2013-09-03
Last Update Date2017-02-20
Business Address
-- ALYSON RICHELE VASCONCELLOS DPT
2777 BRISTOL ST
COSTA MESA, CA 92626
Phone number: 949-250-1112
Mailing Address
-- ALYSON RICHELE VASCONCELLOS DPT
2777 BRISTOL ST
COSTA MESA, CA 92626
Phone number: 949-250-1112