Individual
AIMEE TOSHA COSTABILE HENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1501 N BICKETT BLVD, SUITE F, LOUISBURG, NC 27549-2178
(919) 497-8414
(919) 497-8478
Mailing address
2415 PROFESSIONAL DR, PO BOX 7594, ROCKY MOUNT, NC 27804-2254
(252) 443-0808
(252) 451-9032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11786
NC
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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