Jeffrey A Costa, PTA

NPI #1073893509 in Monroe, Connecticut

Provider Information

NPI Number: 1073893509
Entity Type: Individual
Name: Jeffrey A Costa, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 29, 2011
Last Updated: Aug 29, 2011

Practice Location

Address: 39 COTTAGE ST
City: Monroe
State: Connecticut
ZIP Code: 06468-2929
Phone: (203) 455-7312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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