KELLY COSTELLO
Occupational Therapist
Active
Individual
NPI: 1659507226
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes | 103733 (MN) |
Frequently Asked Questions
NPI 1659507226 is the National Provider Identifier for KELLY COSTELLO, a Occupational Therapist provider located in Fargo, ND. This NPI was enumerated on June 9, 2009.
KELLY COSTELLO practices at 4622 40TH AVE S STE B, Fargo, ND 58104.
Quick Facts
- NPI
- 1659507226
- Type
- Individual
- Enumerated
- Jun 9, 2009
- Last Updated
- Jan 8, 2014
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