Ida L Coryell Hirst P.T.

NPI 1194876839 - Physical Therapist - 225100000X

NPI Details
NPI 1194876839
Gender Female
Enumeration Date 01/16/2007
Last Updated 02/24/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3908 VALLEY AVE
STE. B
PLEASANTON CA, 94566-4872, US
Phone (925) 417-8005
Fax (925) 417-8881
Business Location
3908 VALLEY AVE.
STE. B
PLEASANTON CA, 94566, US
Phone (925) 417-8005
Fax (925) 417-8881
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT13904
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According to our database, Ida L Coryell Hirst P.T. NPI is 1194876839, taxonomy code is 225100000X and license number is PT13904, license state is located at California. Ida L Coryell Hirst P.T. physically located at 3908 Valley Ave, Pleasanton CA, 94566-4872. NPI Number Ida L Coryell Hirst P.T. has the Individual type.

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1194876839 NPI number is provided on an as is basis without warranty of any kind. 1194876839 is maintained by the National Plan & Provider Enumeration System. The contents of Ida L Coryell Hirst P.T. are for informational purposes only.