Individual
LISA ANN COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1807 FORDHAM BLVD. UNC HEALTH CRC, CHAPEL HILL, NC 27514
(984) 974-9700
(702) 804-2551
Mailing address
1195 FEARRINGTON POST, 44 CASWELL, PITTSBORO, NC 27312
(801) 680-0869
(702) 804-2551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14628
NC
Other
Enumeration date
07/14/2012
Last updated
08/22/2022
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