| Doctor Name: | MS. MEGHAN BARBARA COSTA |
| NPI Number: | 1265566871 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.T. |
| License Number: | 05009063A |
| Business Practice Address: | 4201 Lake Boone Trl Ste 4 Raleigh, NC - 276077511 |
| Business Phone Number: | 9197814434 |
| Business Fax Number: | 9197815851 |
| Mailing Address: | 727 Brisbane Woods Way, CARY |
| State: | NC |
| Postal Code: | 275189250 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 04/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 05009063A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |