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1730586769
BENJAMIN PIERCE COSTA
SAN RAFAEL, CA
NPI
1730586769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 42459)
Enumeration Date
2014-11-19
Last Update Date
2020-10-02
Business Address
Dr. BENJAMIN PIERCE COSTA PT
51 LOCHINVAR RD
SAN RAFAEL, CA 94901-2446
Phone number: 415-497-4841
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Mailing Address
Dr. BENJAMIN PIERCE COSTA PT
51 LOCHINVAR RD STE 120
SAN RAFAEL, CA 94901-2446
Phone number: 415-497-4841
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