Individual
ANGELINA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 HIGHLAND AVE, SOMERVILLE, MA 02143
(617) 591-4531
Mailing address
230 HIGHLAND AVE, SOMERVILLE, MA 02143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11899
MA
Other
Enumeration date
09/01/2015
Last updated
11/15/2016
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