SearchCalifornia225100000X

Alisa Kostukovsky, PT, DPT

NPI 1780089052 · on the registry since 2014 · sole proprietor

Practice

Address
18110 Bromley St
Tarzana, CA 91356
Phone
(818) 383-9708

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California