Individual
ALYSON RICHELE VASCONCELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2777 BRISTOL ST, COSTA MESA, CA 92626
(949) 250-1112
(949) 250-1401
Mailing address
2777 BRISTOL ST, COSTA MESA, CA 92626
(949) 250-1112
(949) 250-1401
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40380
CA
Other
Enumeration date
09/03/2013
Last updated
02/20/2017
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