IndividualActive
Alicia Coffroth, DPT
NPI 1053634584 · Pediatric Physical Therapist · San Diego, CA
Provider details
- NPI number
- 1053634584
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- License
- 35096 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1110 Carolina Ln
San Diego, CA 92102-3713
Phone: (619) 262-7342
Approximate (ZIP-level) locationGet directions
Mailing address
6977 Navajo Rd # 445
San Diego, CA 92119-1503
Registry dates
- Enumerated
- 2010-03-11
- Last updated
- 2022-10-24
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.