Individual
CHARLIE C COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2017 SAINT ANNE DR, ALLEN, TX 75013-3048
(469) 656-5238
Mailing address
2017 SAINT ANNE DR, ALLEN, TX 75013-3048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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