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1639398639
LINDA KRYSIAK COSTELLO
WEST BLOOMFIELD, MI
NPI
1639398639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501002503)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- LINDA KRYSIAK COSTELLO PT
5839 W MAPLE RD SUITE 100
WEST BLOOMFIELD, MI 48322-2278
Phone number: 248-851-6999
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Mailing Address
-- LINDA KRYSIAK COSTELLO PT
1031 HOME LN
BLOOMFIELD HILLS, MI 48304-1181
Phone number: 248-852-3527
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