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Individual

ANA DA COSTA HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPIST

Contact information

Practice address
689 S APOLLO BLVD, MELBOURNE, FL 32901-1455
(216) 745-0353
(321) 674-5039
Mailing address
1954 ROCKLEDGE BLVD STE 119, ROCKLEDGE, FL 32955-3761
(321) 674-5035
(321) 674-5039

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5617
FL

Other

Enumeration date
12/13/2006
Last updated
01/26/2021
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