NPI 1073716833

Jason Costello

Practitioner Occupational Therapy Assistant Laurel, MD

Practice location

Address: 14409 Greenview Dr STE 102, Laurel, MD 20708-4213
Phone: (301) 498-8100
Fax: (301) 498-0009

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence A00514 (MD)

Other Occupational Therapy Assistant providers in Maryland →

Registry record

NPI: 1073716833
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.