Tiffany Costello
Tiffany Costello is a Developmental Therapist in East Peoria, Illinois. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
406 Dundee RdEast Peoria, IL 61611-1614
Phone: (217) 414-4858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1053715334 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 15, 2014 |
| Last updated in NPPES | October 15, 2014 |
| Mailing address | 406 Dundee Rd, East Peoria, IL 61611-1614 |
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