Donna Sue Costa

NPI #1932501715 in Northfield, Illinois

Provider Information

NPI Number: 1932501715
Entity Type: Individual
Name: Donna Sue Costa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 550 W FRONTAGE RD STE 2415
City: Northfield
State: Illinois
ZIP Code: 60093-1212
Phone: (877) 787-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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