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1255098968
MICHAEL COSTELLO
STORRS, CT
NPI
1255098968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 13390)
Enumeration Date
2021-11-17
Last Update Date
2021-11-29
Business Address
MICHAEL COSTELLO DPT
9 DOG LN STE 108
STORRS, CT 06268-2239
Phone number: 860-429-0899
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Mailing Address
MICHAEL COSTELLO DPT
108 EDGEWATER DR
COVENTRY, CT 06238-2704
Phone number: 203-561-5235
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