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1487336194
ELIZABETH COSTELLO
PROVIDENCE, RI
NPI
1487336194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI OT02208)
Enumeration Date
2023-08-02
Last Update Date
2024-09-06
Business Address
ELIZABETH COSTELLO OTD, OTR/L
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-602-9640
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Mailing Address
ELIZABETH COSTELLO OTD, OTR/L
1000 EDDY ST
PROVIDENCE, RI 02905-4739
Phone number: 401-602-9640
Copy
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