Individual
MICHELLE LEE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2067 MINERAL SPRING AVE STE 2, NORTH PROVIDENCE, RI 02911-1824
(401) 602-5652
Mailing address
1 SILO LN, COVENTRY, RI 02816-8251
(401) 602-5652
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
TAT02357
RI
Other
Enumeration date
11/23/2022
Last updated
10/30/2025
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