KATHERINE DACOSTA

DOUGLASVILLE, GA
NPI1790964534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  1853)
Enumeration Date2007-10-29
Last Update Date2007-10-29
Business Address
KATHERINE DACOSTA
4586 TIMBER RIDGE DR STE 160
DOUGLASVILLE, GA 30135-7513
Phone number: 770-949-0558
Mailing Address
KATHERINE DACOSTA
4586 TIMBER RIDGE DR STE 160
DOUGLASVILLE, GA 30135-7513
Phone number: 770-949-0558
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