Individual
AMANDA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9470 ANNAPOLIS RD, 416, LANHAM, MD 20706-3025
(301) 577-4333
(866) 235-7853
Mailing address
9470 ANNAPOLIS RD, SUITE 416, LANHAM, MD 20706-3025
(301) 577-4333
(866) 235-7853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07529
MD
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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