Individual
CHRISTINA MARIE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
120 HASTINGS AVE, HAVERTOWN, PA 19083-2430
(610) 209-3242
Mailing address
120 HASTINGS AVE, HAVERTOWN, PA 19083-2430
(610) 209-3242
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT001101E
PA
Other
Enumeration date
12/07/2010
Last updated
12/07/2010
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