Individual
MRS. KARA BRIANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1300 SOUTH RICHMAN AVE, FULLERTON, CA 92832
(714) 347-0476
Mailing address
4416 BOYAR AVE, LONG BEACH, CA 90807-2529
(562) 424-6325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
33512
CA
2251P0200X
Pediatric Physical Therapist
Primary
33512
CA
Other
Enumeration date
02/20/2007
Last updated
09/11/2025
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