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Organization
KIMBERLY A COSTA PT PC
Active
Organization
KIMBERLY A COSTA PT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY A COSTA PT (OWNER PHYSICAL THERAPIST)
(845) 985-7080
Entity
Organization
Contact information
Practice address
101 KLOTHE DR, GRAHAMSVILLE, NY 12740
(845) 985-7080
(845) 985-7080
Mailing address
101 KLOTHE DR, GRAHAMSVILLE, NY 12740
(845) 985-7080
(845) 985-7080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0145731
NY
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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