Individual
MARY KATE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
177 N HIGHLAND ST, MEMPHIS, TN 38111-4747
(901) 325-4000
Mailing address
1089 MARCIA RD, MEMPHIS, TN 38117-5515
(901) 833-7202
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6007
TN
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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