Individual
DUSTIN COELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 N GRAND AVE, COVINA, CA 91724-1001
(626) 395-7100
Mailing address
1411 N GRAND AVE, COVINA, CA 91724-1001
(626) 395-7100
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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