Kelly N Costello
Kelly N Costello is an Occupational Therapist in Fargo, North Dakota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2009
Practice location Address checks out
4622 40th Ave S Ste BFargo, ND 58104-4394
Phone: (701) 361-3745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 103733 (MN) |
|---|
Record details
| NPI number | 1659507226 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2009 |
| Last updated in NPPES | January 8, 2014 |
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