Individual
JULIANNE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, OTR
Contact information
Practice address
454 MANHATTAN AVE, #4L, NEW YORK, NY 10026-1088
(917) 916-9297
Mailing address
454 MANHATTAN AVE, #4L, NEW YORK, NY 10026-1088
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
022662-1
NY
225XP0200X
Pediatric Occupational Therapist
012810-1
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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