DANIEL DACOSTA

BRICK, NJ
NPI1366947285
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NJ  46TR00803200)
Enumeration Date2018-03-25
Last Update Date2018-03-25
Business Address
DANIEL DACOSTA OTR/L
475 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-458-6699
Mailing Address
DANIEL DACOSTA OTR/L
201 8TH AVE APT 6B
BELMAR, NJ 07719-2259
Phone number: 914-438-5994
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