BENJAMIN PIERCE COSTA

SAN RAFAEL, CA
NPI1730586769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  42459)
Enumeration Date2014-11-19
Last Update Date2020-10-02
Business Address
Dr. BENJAMIN PIERCE COSTA PT
51 LOCHINVAR RD
SAN RAFAEL, CA 94901-2446
Phone number: 415-497-4841
Mailing Address
Dr. BENJAMIN PIERCE COSTA PT
51 LOCHINVAR RD STE 120
SAN RAFAEL, CA 94901-2446
Phone number: 415-497-4841