Individual
MRS. DANIELLE DA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 COUNTYWIDE LN, CENTEREACH, NY 11720-1939
(631) 775-6424
Mailing address
3 COUNTYWIDE LN, CENTEREACH, NY 11720-1939
(631) 775-6424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011765
NY
Other
Enumeration date
12/14/2008
Last updated
12/14/2008
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