MRS. Cheryl Jane Costello, PTA

NPI #1376858753 in Moline, Illinois

Provider Information

NPI Number
1376858753
Entity Type
Individual
Name
MRS. Cheryl Jane Costello, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Skilled Nursing Facility
Credential
PTA
Enumeration Date
Aug 10, 2010
Last Updated
Aug 10, 2010

Practice Location

Address
833 16TH AVE
City
Moline
ZIP Code
61265-3808
Phone
(309) 764-6744

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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