ELYSE COSTELLO

EDMONDS, WA
NPI1891140778
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160629979)
Enumeration Date2016-04-28
Last Update Date2016-04-28
Business Address
-- ELYSE COSTELLO
21008 76TH AVE W
EDMONDS, WA 98026-7104
Phone number: 425-778-0107
Mailing Address
-- ELYSE COSTELLO
21008 76TH AVE W
EDMONDS, WA 98026-7104
Phone number: