DR. Theresa Mary Costello, PHD, PT
NPI #1417295130 in Fishersville, Virginia
Provider Information
- NPI Number
- 1417295130
- Entity Type
- Individual
- Name
- DR. Theresa Mary Costello, PHD, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PHD, PT
- Enumeration Date
- Jan 31, 2013
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 83 CROSS ROAD LN
- City
- Fishersville
- State
- Virginia
- ZIP Code
- 22939-2331
- Phone
- (540) 885-8424
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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