Costello, Elizabeth Christine

Costello, Elizabeth Christine is an individual health care provider with primary practice located at 1720 Vieth Dr , Jefferson City MO 65109-2056. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Costello, Elizabeth Christine can be contacted via phone (573) 635-6193.

Contact Information

Primary practice address
1720 Vieth Dr Jefferson City MO 65109-2056
Phone: (573) 635-6193
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2013021532 Missouri

Profile Details

NPI number 1457982811
LBN Legal business name Costello, Elizabeth Christine
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2020
Last updated Feb 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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