Individual
MR. ANTHONY ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2218 DANA DR, ROWLETT, TX 75088-9418
(214) 609-3090
Mailing address
2218 DANA DR, ROWLETT, TX 75088-9418
(214) 609-3090
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214576
TX
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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