Kimberly a Costa Pt PC

NPI #1578761763 in Grahamsville, New York

Provider Information

NPI Number: 1578761763
Entity Type: Organization
Organization Name: Kimberly a Costa Pt PC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 10, 2007
Last Updated: Jul 10, 2007

Practice Location

Address: 101 KLOTHE DR
City: Grahamsville
State: New York
ZIP Code: 12740
Phone: (845) 985-7080

Authorized Official

Name: MRS. KIMBERLY A COSTA, PT
Title: OWNER PHYSICAL THERAPIST
Phone: (845) 985-7080

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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