Individual
MRS. NICOLE LAROUX COSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ATC
Contact information
Practice address
3900 LOMALAND DR, SAN DIEGO, CA 92106-2810
(951) 515-3054
Mailing address
120 UNIVERSITY GDNS, #3, CHARLOTTESVILLE, VA 22903-2508
(951) 515-3054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
08032092
CA
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
09/20/2007
Last updated
10/01/2020
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