Individual
CHRISTINE MARY DACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4175 N HANSON CT STE 301, BOWIE, MD 20716-3186
(443) 481-1140
Mailing address
4175 N HANSON CT STE 301, BOWIE, MD 20716-3186
(443) 481-1140
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
24806
MD
225100000X
Physical Therapist
Primary
24806
MD
Other
Enumeration date
01/05/2014
Last updated
02/13/2023
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