Collymore, Dacosta Alonzo

Collymore, Dacosta Alonzo is an sole proprietor health care provider with primary practice located at 5000 Overland Ave Ste 4 , Culver City CA 90230-4995. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Collymore, Dacosta Alonzo can be contacted via phone (310) 836-7650.

Contact Information

Primary practice address
5000 Overland Ave Ste 4 Culver City CA 90230-4995
Phone: (310) 836-7650
Fax: (310) 836-7651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 20709 California

Profile Details

NPI number 1568497659
LBN Legal business name Collymore, Dacosta Alonzo
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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