Individual
MR. DAVID COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8840 CYPRESS WATERS BLVD STE 300, COPPELL, TX 75019-4594
(800) 788-4815
Mailing address
13603 ROUTE 78, SOUTH WALES, NY 14139-9717
(716) 359-2077
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
41488
CA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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