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1609377480
DAVID COSTELLO
YPSILANTI, MI
NPI
1609377480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501010673)
Enumeration Date
2018-02-27
Last Update Date
2021-04-13
Business Address
DAVID COSTELLO PT
5333 MCAULEY DR
YPSILANTI, MI 48197-1014
Phone number: 734-712-2754
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Mailing Address
DAVID COSTELLO PT
3601 W 13 MILE RD
ROYAL OAK, MI 48073-6712
Phone number: 248-655-3109
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