Individual
EMILY COSTABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1621 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2229
(843) 427-0592
Mailing address
8550 A1A S UNIT 339, ST AUGUSTINE, FL 32080-8419
(352) 359-8148
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13045
SC
225100000X
Physical Therapist
PT43564
FL
Other
Enumeration date
08/11/2025
Last updated
08/26/2025
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