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Organization
COSTA SPORTS PHYSICAL THERAPY INC
Active
Organization
COSTA SPORTS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARY COSTA D.P.T. (OWNER/PHYSICAL THERAPIST)
(971) 998-4484
Entity
Organization
Contact information
Practice address
1041 E YORBA LINDA BLVD, SUITE 209, PLACENTIA, CA 92870-3728
(714) 831-1844
(949) 482-2122
Mailing address
1041 E YORBA LINDA BLVD, SUITE 209, PLACENTIA, CA 92870-3728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CA
2251C2600X
Cardiopulmonary Physical Therapist
—
CA
2251E1200X
Ergonomics Physical Therapist
—
CA
2251G0304X
Geriatric Physical Therapist
—
CA
2251H1300X
Human Factors Physical Therapist
—
CA
2251N0400X
Neurology Physical Therapist
—
CA
2251P0200X
Pediatric Physical Therapist
—
CA
2251S0007X
Sports Physical Therapist
—
CA
2251X0800X
Orthopedic Physical Therapist
—
CA
Other
Enumeration date
04/13/2016
Last updated
05/04/2016
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