Individual
AMBER DALLA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3814 EMERALD BRANCH LN, KATY, TX 77450-8039
(954) 696-0690
Mailing address
3814 EMERALD BRANCH LN, KATY, TX 77450-8039
(954) 696-0690
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2060423
TX
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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