Individual
MS. JEAN MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12041 BOURNEFIELD WAY STE B, SILVER SPRING, MD 20904-7908
(301) 592-4442
Mailing address
3701 GREGG RD APT A, BROOKEVILLE, MD 20833-1100
(301) 233-0504
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16443
MD
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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