Individual
ANDREW GEORGE COSTARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
611 SEOND ST STE A, MARIETTA, OH 45750-0328
(304) 869-3888
(304) 869-3444
Mailing address
1500 GRAND CENTRAL AVE SUITE 101, VIENNA, WV 26105-1079
(304) 693-2781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003620
WV
225100000X
Physical Therapist
PT016223
OH
Other
Enumeration date
06/06/2016
Last updated
04/19/2021
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