Individual
CONNOR COSTALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 BEHARRELL ST STE D, CONCORD, MA 01742-1750
(617) 932-1027
Mailing address
107 COLLEGE RD, CONCORD, MA 01742-1526
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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