Individual
MRS. ERRYN COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1395 E DUBLIN GRANVILLE RD, COLUMBUS, OH 43229-3313
(614) 286-0206
Mailing address
8579 RENFORD CT, POWELL, OH 43065-9223
(614) 286-0206
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
OH
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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