Individual
EMILY ANTOINETTE COSTABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13733 N GATE DR, SILVER SPRING, MD 20906-2214
(240) 678-4927
Mailing address
13733 N GATE DR, SILVER SPRING, MD 20906-2214
(240) 678-4927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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