Individual
BELA MARINA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY ASS
Contact information
Practice address
130 WEST KINGSBRIDGE ROAD, 3D 21, BRONX, NY 10468
(718) 584-9000
Mailing address
3363 SEDGWICK AVE, APT LP, BRONX, NY 10463
(973) 563-6387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007282
NY
Other
Enumeration date
02/16/2010
Last updated
03/10/2015
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