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1508997701
EMILY JEANNE COSTELLO
SYRACUSE, NY
NPI
1508997701
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 011685-1)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
-- EMILY JEANNE COSTELLO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-2300
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Mailing Address
-- EMILY JEANNE COSTELLO
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-2300
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