JASON COSTELLO
Occupational Therapy Assistant
Active
Individual
NPI: 1073716833
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | A00514 (MD) |
Frequently Asked Questions
NPI 1073716833 is the National Provider Identifier for JASON COSTELLO, a Occupational Therapy Assistant provider located in Laurel, MD. This NPI was enumerated on June 8, 2007.
JASON COSTELLO practices at 14409 GREENVIEW DR STE 102, Laurel, MD 20708.
Quick Facts
- NPI
- 1073716833
- Type
- Individual
- Enumerated
- Jun 8, 2007
- Last Updated
- Jul 8, 2007
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