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1215987201
SHANNON BROOK COSTELLA
VALPARAISO, IN
NPI
1215987201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05007003A)
Enumeration Date
2006-05-11
Last Update Date
2017-04-20
Business Address
Miss SHANNON BROOK COSTELLA MSPT, Cert MDT
2307 LAPORTE AVE SUITE 5
VALPARAISO, IN 46383-6996
Phone number: 219-477-4500
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Mailing Address
Miss SHANNON BROOK COSTELLA MSPT, Cert MDT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6200
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