Individual
ASHLEY COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2700 NW 83RD TER, CORAL SPRINGS, FL 33065-5331
(954) 593-2071
Mailing address
2700 NW 83RD TER, CORAL SPRINGS, FL 33065-5331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA14756
FL
Other
Enumeration date
05/31/2017
Last updated
06/16/2018
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