Individual
DR. AMBER PAULINE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
6347 ST PETERS CHURCH RD, CONOVER, NC 28613-8862
(704) 608-6449
Mailing address
5251 PATTON RD, MORGANTON, NC 28655-7178
(217) 827-6169
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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