MR. Wayne P Costa, RKT

NPI #1598717498 in Lake City, Florida

Provider Information

NPI Number: 1598717498
Entity Type: Individual
Name: MR. Wayne P Costa, RKT
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Kinesiotherapist
Credential: RKT
Enumeration Date: May 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 619 S MARION AVE
City: Lake City
State: Florida
ZIP Code: 32025-5808
Phone: (386) 755-3016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Kinesiotherapist	226300000X	Primary

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