Costelloe, Kate
Costelloe, Kate is an individual health care provider with primary practice located at 13501 Ne 28Th St , Vancouver WA 98682-8091. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Costelloe, Kate can be contacted via phone (360) 604-6700.Contact Information
Primary practice address
13501 Ne 28Th St
Vancouver WA 98682-8091
Phone: (360) 604-6700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00002913 | Washington |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X |
Profile Details
NPI number | 1346361748 |
---|---|
LBN Legal business name | Costelloe, Kate |
Credentials | OTRL |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2007 |
Last updated | Jan 23rd, 2013 - about 11 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346361748 | NPPES |
Washington | MEDICAID | 7683444 |
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