Individual
MRS. REBECCA JEAN COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DT, PTA
Contact information
Practice address
4935 CROSSBILL RD, TAMAROA, IL 62888-2224
(618) 357-3635
(618) 357-2002
Mailing address
4935 CROSSBILL RD, TAMAROA, IL 62888-2224
(618) 357-3635
(618) 357-2002
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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