STACY CAMILLE COSTA

PHILADELPHIA, PA
NPI1407159700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: PA  OC009892)
Enumeration Date2010-12-09
Last Update Date2010-12-09
Business Address
Mrs. STACY CAMILLE COSTA OTR/L
2121 CARPENTER ST UNIT 2
PHILADELPHIA, PA 19146-2515
Phone number: 215-687-1908
Mailing Address
Mrs. STACY CAMILLE COSTA OTR/L
2121 CARPENTER ST UNIT 2
PHILADELPHIA, PA 19146-2515
Phone number: 215-687-1908
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