Individual provider · Type 1 NPI

Stacy Camille Costa, OTR/L

Occupational Therapist · Philadelphia, PA

NPI number 1407159700 Active

Practice location

2121 Carpenter St, Unit 2
Philadelphia, PA 19146-2515

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOC009892 (PA)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1407159700

Stacy Camille Costa, OTR/L's National Provider Identifier is 1407159700, issued on Dec 9, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 9, 2010.