Individual
MR. STEVEN V COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2 FAWN RD, BETHEL, CT 06801-2718
(203) 240-6957
Mailing address
2 FAWN RD, BETHEL, CT 06801-2718
(203) 240-6957
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62 016886
NY
Other
Enumeration date
08/28/2012
Last updated
06/02/2014
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