Individual
LISA J COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY
Contact information
Practice address
11110 MEDICAL CAMPUS RD, 201, HAGERSTOWN, MD 21742-6700
(301) 714-4025
(301) 714-4026
Mailing address
11110 MEDICAL CAMPUS RD, 201, HAGERSTOWN, MD 21742-6700
(301) 714-4025
(301) 714-4026
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
18794
MD
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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