DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELAGH COSTELLO, OT

Active Sole Proprietor

SHELAGH COSTELLO, OT is a Occupational Therapist healthcare provider located in CASCO, Maine. NPI 1013306091 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CASCO, ME

Registration Details

NPI Number
1013306091
Provider Type
Individual
Gender
Female
NPI Issued
Jan 14, 2015 (11.540491275069 yrs)
Last Updated
Jan 14, 2015
Licenses
11007 (MA)
OT01406 (RI)
Sole Proprietor
Yes

Practice Information

Address
3 GLEN DR
CASCO, ME, 040153833
Browse ME providers · Browse ZIP 04015
Phone
8009952673
Fax
8889796551
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.