Jessica Costello

NPI #1922477116 in Montesano, Washington

Provider Information

NPI Number: 1922477116
Entity Type: Individual
Name: Jessica Costello
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 17, 2015
Last Updated: Sep 17, 2015

Practice Location

Address: 800 N MEDCALF LN
City: Montesano
State: Washington
ZIP Code: 98563-1318
Phone: (360) 249-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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