Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CHERYL JANE COSTELLO, PTA
Active Sole ProprietorMRS. CHERYL JANE COSTELLO, PTA is a Skilled Nursing Facility healthcare provider located in MOLINE, Illinois. NPI 1376858753 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · MOLINE, IL
Registration Details
- NPI Number
- 1376858753
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2010 (15.983186396103 yrs)
- Last Updated
- Aug 10, 2010
- License
-
160.004681 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
833 16TH AVEMOLINE, IL, 612653808Browse IL providers · Browse ZIP 61265
- Phone
- 3097646744
- Primary Specialty
-
Skilled Nursing Facility
314000000X
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.