Individual
MEAGAN COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
795 WASHINGTON RD, RYE, NH 03870-2318
(603) 964-8144
Mailing address
795 WASHINGTON RD, RYE, NH 03870-2318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
11312
MA
225X00000X
Occupational Therapist
Primary
2407
NH
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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