Individual
MR. ALEXANDER L COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
(908) 604-5841
Mailing address
151 KNOLLCROFT RD, VANJHCS PM&RS (117), LYONS, NJ 07939-5001
(908) 647-0180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00118200
NJ
225X00000X
Occupational Therapist
OC009227
PA
Other
Enumeration date
06/09/2006
Last updated
07/12/2007
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