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Individual

ELIZABETH COSTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT02208
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0614
NHPRI
RI
05
ES01788
RI
01
SB870
BC RI
RI
Enumeration date
08/02/2023
Last updated
09/06/2024
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