Individual
DR. AMBER PAULINE COSTELLO
Active
Individual
DR. AMBER PAULINE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8154
NC
225XM0800X
Mental Health Occupational Therapist
8154
NC
225XP0019X
Physical Rehabilitation Occupational Therapist
8154
—
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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