SERGIO COSTA

IVYLAND, PA
NPI1962060517
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
Enumeration Date2019-05-30
Last Update Date2019-05-30
Business Address
SERGIO COSTA C.O.
70 BUBECK CT
IVYLAND, PA 18974-1288
Phone number: 215-330-2711
Mailing Address
SERGIO COSTA C.O.
70 BUBECK CT
IVYLAND, PA 18974-1288
Phone number: 215-330-2711