Costello, Tiffany

Costello, Tiffany is an individual health care provider with primary practice located at 406 Dundee Rd , East Peoria IL 61611-1614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Costello, Tiffany can be contacted via phone (217) 414-4858.

Contact Information

Primary practice address
406 Dundee Rd East Peoria IL 61611-1614
Phone: (217) 414-4858
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1053715334
LBN Legal business name Costello, Tiffany
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2014
Last updated Oct 15th, 2014 - about 10 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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