ALISA KOSTUKOVSKY

TARZANA, CA
NPI1780089052
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  41808)
Enumeration Date2014-10-29
Last Update Date2020-09-22
Business Address
ALISA KOSTUKOVSKY PT, DPT
18110 BROMLEY ST
TARZANA, CA 91356-1701
Phone number: 818-383-9708
Mailing Address
ALISA KOSTUKOVSKY PT, DPT
18110 BROMLEY ST
TARZANA, CA 91356-1701
Phone number: 818-383-9708
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