KENNETH PATRICK COSTELLO

BRENTWOOD, MO
NPI1265586572
Other NameKEN P. COSTELLO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MO  2002005830)
Enumeration Date2007-01-23
Last Update Date2020-07-01
Business Address
Mr. KENNETH PATRICK COSTELLO
2937 S BRENTWOOD BLVD
BRENTWOOD, MO 63144
Phone number: 314-961-3804
Mailing Address
Mr. KENNETH PATRICK COSTELLO
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6250
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