Individual
ALYSSA DECOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
977 LEES RIVER AVE APT 1, SOMERSET, MA 02726-1340
(508) 558-2975
Mailing address
120 RUSSELLS MILLS RD, DARTMOUTH, MA 02748-1742
(508) 264-4456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4039
MA
Other
Enumeration date
10/21/2016
Last updated
10/28/2020
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