Theresa A Costello, PT

NPI #1568038917 in Monroe, New York

Provider Information

NPI Number: 1568038917
Entity Type: Individual
Name: Theresa A Costello, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 27, 2021
Last Updated: May 27, 2021

Practice Location

Address: 745 STATE ROUTE 17M STE 104
City: Monroe
State: New York
ZIP Code: 10950-2663
Phone: (845) 782-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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