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1871135822
KATHLEEN COSTELLO
PROVIDENCE, RI
NPI
1871135822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: RI OT01855)
Enumeration Date
2019-10-10
Last Update Date
2019-10-10
Business Address
KATHLEEN COSTELLO OT
1 RANDALL SQ STE 302
PROVIDENCE, RI 02904-2773
Phone number: 401-793-1829
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Mailing Address
KATHLEEN COSTELLO OT
903 PROVIDENCE PL APT 146
PROVIDENCE, RI 02903-7003
Phone number: 203-848-0175
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