Individual
MS. KAYLA M COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 DEVOLL ST, NEW BEDFORD, MA 02740-2128
(774) 930-9033
Mailing address
21 DEVOLL ST, NEW BEDFORD, MA 02740-2128
(774) 930-9033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3813
MA
224Z00000X
Occupational Therapy Assistant
OTA00740
RI
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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