Individual
ERMANNO RENATO COSTABILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
700 GEIPE RD, STE 240, CATONSVILLE, MD 21228-4147
(410) 747-8571
(410) 747-9050
Mailing address
7110 HARLAN LN, SYKESVILLE, MD 21784-7559
(410) 549-9225
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16246
MD
Other
Enumeration date
04/26/2006
Last updated
08/29/2007
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