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1972861748
GARY COSTELLE
LOUISVILLE, KY
NPI
1972861748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 001753)
Enumeration Date
2012-04-30
Last Update Date
2014-08-22
Business Address
-- GARY COSTELLE PT
2400 EASTPOINT PKWY STE 120
LOUISVILLE, KY 40223-4154
Phone number: 502-253-6689
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Mailing Address
-- GARY COSTELLE PT
PO BOX 950243
LOUISVILLE, KY 40295-0243
Phone number: 502-253-1035
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