Individual
AMANDA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 NATIONAL HWY STE 300, THOMASVILLE, NC 27360-2668
(336) 475-2000
Mailing address
416 SUMMERTREE CT, WINSTON SALEM, NC 27127-6768
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P23004
NC
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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