Individual
MEGHAN B COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
109 OAK ST, NEWTON, MA 02464-1492
(617) 658-5600
Mailing address
18 HILLSDALE RD APT 2, MEDFORD, MA 02155-5229
(908) 377-4213
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14602
MA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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