Sonnie M Dacosta, ATC
NPI #1922377787 in Simi Valley, California
Provider Information
- NPI Number
- 1922377787
- Entity Type
- Individual
- Name
- Sonnie M Dacosta, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Dec 23, 2011
- Last Updated
- Dec 23, 2011
Practice Location
- Address
- 2343 ARCHWOOD LN
- Address 2
- SUITE 141
- City
- Simi Valley
- State
- California
- ZIP Code
- 93063-6142
- Phone
- (805) 795-3260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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