Individual
MR. THOMAS JOHN COSTELLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
5322 N DIVISION ST STE 102, SPOKANE, WA 99207-1300
(509) 487-1232
Mailing address
11305 E 34TH AVE, SPOKANE VALLEY, WA 99206-2912
(509) 998-2485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61647885
WA
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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