Individual
DAVID COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5333 MCAULEY DR, YPSILANTI, MI 48197-1014
(734) 712-2754
(734) 712-8678
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 655-3109
(248) 898-0451
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010673
MI
Other
Enumeration date
02/27/2018
Last updated
04/13/2021
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