Doctor Name: | MS. ANDREA SOUZA COSTA |
NPI Number: | 1477732121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPT |
License Number: | 5501013317 |
Business Practice Address: | 7800 W Outer Dr Suite #250 Detroit, MI - 482353461 |
Business Phone Number: | 3133629445 |
Business Fax Number: | 3133620444 |
Mailing Address: | 7800 W Outer Dr, Suite #250 DETROIT |
State: | MI |
Postal Code: | 482353461 |
Phone Number: | 3133629445 |
Fax Number: | 3133620444 |
NPI Enumeration Date: | 10/30/2007 |
NPI Last Update Date: | 10/30/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501013317 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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 |