KATHERINE DACOSTA
Physical Therapy Assistant
Active
Individual
NPI: 1790964534
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 1853 (GA) |
Frequently Asked Questions
NPI 1790964534 is the National Provider Identifier for KATHERINE DACOSTA, a Physical Therapy Assistant provider located in Douglasville, GA. This NPI was enumerated on October 29, 2007.
KATHERINE DACOSTA practices at 4586 TIMBER RIDGE DR STE 160, Douglasville, GA 30135.
Quick Facts
- NPI
- 1790964534
- Type
- Individual
- Enumerated
- Oct 29, 2007
- Last Updated
- Oct 29, 2007
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