Jared Costable
Jared Costable is a Physical Therapist in Portland, Maine. Practices as a sole proprietor. Licensed in Maine.
- Licensed in
- ME
- In the registry since
- 2007
Practice location Address checks out
372 Palmer AvePortland, ME 04103
Phone: (207) 409-0718
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence PT2905 (ME) |
|---|
Record details
| NPI number | 1366654873 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 4, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 372 Palmer Avenue, Portland, ME 04103 |
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