MRS. Lisa Costanzo, OT

NPI #1265730725 in Somerville, Massachusetts

Provider Information

NPI Number: 1265730725
Entity Type: Individual
Name: MRS. Lisa Costanzo, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Mar 8, 2011
Last Updated: Mar 8, 2011

Practice Location

Address: 5 MIDDLESEX AVE
City: Somerville
State: Massachusetts
ZIP Code: 02145-1102
Phone: (617) 591-4601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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