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STEPHANIE COSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
840 WINTER ST, WALTHAM, MA 02451-1433
(781) 487-9944
(781) 487-9944
Mailing address
840 WINTER ST, ATTN: PRO SPORTS THERAPY, WALTHAM, MA 02451-1433
(781) 487-9944
(781) 487-9944

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8009
MA

Other

Enumeration date
02/25/2019
Last updated
02/25/2019
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