Individual
DR. CHARLES THOMAS COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., C.H.T.
Contact information
Practice address
TEXAS WOMAN'S UNIVERSITY, 6700 FANNIN ST, HOUSTON, TX 77030-2343
(713) 794-2070
(713) 794-2071
Mailing address
17614 CASSINA DR, SPRING, TX 77388-5789
(281) 350-1223
(713) 794-2071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1046498
TX
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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