DONNA SUE COSTA

NORTHFIELD, IL
NPI1932501715
Former NameDONNA SUE GLISSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.000851)
Enumeration Date2014-09-23
Last Update Date2014-09-23
Business Address
-- DONNA SUE COSTA
550 W FRONTAGE RD STE 2415
NORTHFIELD, IL 60093-1212
Phone number: 877-787-3422
Mailing Address
-- DONNA SUE COSTA
550 W FRONTAGE RD STE 2415
NORTHFIELD, IL 60093-1212
Phone number: 877-787-3422