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Individual

AMANDA S COSTABILE

Active
Sole proprietor

Provider details

NPI number
Gender
F
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
16491
MD

Other

Enumeration date
04/26/2006
Last updated
07/08/2007
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