Ida L Coryell Hirst, P.T.
NPI #1194876839 in Pleasanton, California
Provider Information
- NPI Number
- 1194876839
- Entity Type
- Individual
- Name
- Ida L Coryell Hirst, P.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Nov 29, 2016
Practice Location
- Address
- 3908 VALLEY AVE
- Address 2
- STE. B
- City
- Pleasanton
- State
- California
- ZIP Code
- 94566-4872
- Phone
- (925) 417-8005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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