Individual
MICHELE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
761 ROCKY WOODS ST, TAUNTON, MA 02780-2213
(508) 967-5543
Mailing address
761 ROCKY WOODS ST, TAUNTON, MA 02780-2213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3768
MA
Other
Enumeration date
03/08/2017
Last updated
03/08/2017
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