Mr David Costa, DPT | |
8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4594 | |
(800) 788-4815 | |
Not Available |
Full Name | Mr David Costa |
---|---|
Gender | Male |
Speciality | Physical Therapist - Orthopedic |
Location | 8840 Cypress Waters Blvd Ste 300, Coppell, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417329152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251X0800X | Physical Therapist - Orthopedic | 41488 (California) | Primary |
Provider Name | Optimum Health And Wellness Physical Therapy Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649577578 PECOS PAC ID: 3870775604 Enrollment ID: O20110315000559 |
Mailing Address | Practice Location Address |
---|---|
Mr David Costa, DPT 13603 Route 78, South Wales, NY 14139-9717 Ph: (716) 359-2077 | Mr David Costa, DPT 8840 Cypress Waters Blvd Ste 300, Coppell, TX 75019-4594 Ph: (800) 788-4815 |
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