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Individual

DR. CARY COSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
22821 LAKE FOREST DR, SUITE 115, LAKE FOREST, CA 92630-1606
(949) 716-5050
(949) 482-2122
Mailing address
22821 LAKE FOREST DR, SUITE 115, LAKE FOREST, CA 92630-1606
(949) 716-5050
(949) 482-2122

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2251C2600X
Cardiopulmonary Physical Therapist
2251E1200X
Ergonomics Physical Therapist
2251G0304X
Geriatric Physical Therapist
2251H1200X
Hand Physical Therapist
2251P0200X
Pediatric Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
Primary
PT37671
CA

Other

Enumeration date
03/30/2011
Last updated
04/14/2016
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