Individual
DONNA MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DHS, OTR/L
Contact information
Practice address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-3220
Mailing address
874 AMERICAN PACIFIC DR, HENDERSON, NV 89014-8800
(702) 777-3220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13-0323
NV
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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