Rosemary Giambra Costa, PT, W.C.C

Individual provider Active NPI Physical Therapist · Niantic, CT

NPI 1902108608 · NPPES record last updated Dec 1, 2010

Key facts

NPI
1902108608
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
7260 (CT)
Practice address
11 Freedom Way
Suite # B2
Niantic, CT 06357-1041
Phone
(860) 691-8960
Fax
(860) 691-8969
NPI assigned
Dec 1, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7260 CT Yes

Addresses

Primary practice location

11 Freedom Way
Suite # B2
Niantic, CT 06357-1041

Mailing address

11 Freedom Way
Suite # B2
Niantic, CT 06357-1041
Phone (860) 691-8960

Other names

  • Rosemary Giambra Former name

Other providers in Niantic, CT

All providers in Niantic, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.