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Individual

MRS. DANA COSTELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1 DEMERCURIO DR, SUITE 5, ALLENDALE, NJ 07401-1717
(201) 818-2700
(201) 818-3023
Mailing address
1 DEMERCURIO DR, SUITE 5, ALLENDALE, NJ 07401-1717
(201) 818-2700
(201) 818-3023

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QAO9077
NJ

Other

Enumeration date
07/17/2006
Last updated
07/09/2007
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