JARED COSTABLE

PORTLAND, ME
NPI1366654873
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: ME  PT2905)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
-- JARED COSTABLE
372 PALMER AVENUE
PORTLAND, ME 04103
Phone number: 207-409-0718
Mailing Address
-- JARED COSTABLE
372 PALMER AVENUE
PORTLAND, ME 04103
Phone number: 207-409-0718
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