ETHEL C COSTA

WEXFORD, PA
NPI1568624666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: PA  PT012024L)
Enumeration Date2008-06-30
Last Update Date2008-06-30
Business Address
-- ETHEL C COSTA PT
5500 BROOKTREE RD SUITE 102
WEXFORD, PA 15090-9260
Phone number: 180-067-7120
Mailing Address
-- ETHEL C COSTA PT
191 GINKGO CT
CHAMBERSBURG, PA 17201-3921
Phone number: 717-261-4174
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