Dacosta Collymore in Culver City - Physical Therapist
Dacosta Collymore - NPI 1609058445
Dacosta Collymore is a Physical Therapist in Culver City, California. Dacosta Collymore practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Dacosta Collymore is 1609058445. The last update date is 2008-06-24.
Dacosta Collymore's current location address is 5000 Overland Ave, Culver City, California. You can contact this provider via phone number 3108367650 and fax number 3108367651. The mailing address for Dacosta Collymore is 5000 Overland Ave, Culver City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dacosta Collymore |
|---|---|
| Address | 5000 Overland Ave, Culver City, California |
| Phone Number | 3108367650 |
| Fax Number | 3108367651 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO OWNER |
|---|---|
| Authorized Official Name | Collymore Alonzo Dacosta |
| Credentials | RPT |
| Telephone Number | 3108367650 |
NPI Number Detail
| NPI Number | 1609058445 |
|---|---|
| Provider Enumeration Date | 2007-12-04 |
| Last Updated Date | 2008-06-24 |
Provider Mailing Address Detail
| Address | 5000 Overland Ave |
|---|---|
| City | Culver City |
| State | California (CA) |
| Post Code | 90230 |
| Phone Number | 3108367650 |
| Fax Number | 3108367651 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 20709 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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What is the unique 10-digit identifier code assigned to Dacosta Collymore by the Centers for Medicare & Medicaid Services?
The Dacosta Collymore has been issued the NPI (National Provider Identifier) 1609058445 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Dacosta Collymore's facilities are situated?
The facilities of Dacosta Collymore are physically located at the following address: 5000 Overland Ave, Culver City, CA, 90230.
What is Dacosta Collymore's specialized field of practice, and what is the corresponding taxonomy classification code?
The Dacosta Collymore's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609058445 to Dacosta Collymore?
The Dacosta Collymore received its 1609058445 assignment from the Centers for Medicare & Medicaid Services on 2007-12-04.
When was the Dacosta Collymore's information last updated?
The Dacosta Collymore's information was last updated on 2008-06-24.