JASON COSTELLO

LAUREL, MD
NPI1073716833
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MD  A00514)
Enumeration Date2007-06-08
Last Update Date2007-07-08
Business Address
-- JASON COSTELLO
14409 GREENVIEW DR STE 102
LAUREL, MD 20708-4213
Phone number: 301-498-8100
Mailing Address
-- JASON COSTELLO
14409 GREENVIEW DR STE 102
LAUREL, MD 20708-4213
Phone number: 301-498-8100
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