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1073893509
JEFFREY A COSTA
MONROE, CT
NPI
1073893509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CT 891)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
-- JEFFREY A COSTA PTA
39 COTTAGE ST
MONROE, CT 06468-2929
Phone number: 203-455-7312
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Mailing Address
-- JEFFREY A COSTA PTA
39 COTTAGE ST
MONROE, CT 06468-2929
Phone number: 203-455-7312
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