Benjamin Pierce Costa, PT Valid NPI

Individual provider · Physical Therapist · San Rafael, CA

NPI

1730586769

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

42459 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2014-11-19

Last updated

2020-10-02