IndividualActive
Connor Costales
NPI 1053172072 · Sports Physical Therapist · Concord, MA
Provider details
- NPI number
- 1053172072
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
50 Beharrell St Ste D
Concord, MA 01742-1750
Phone: (617) 932-1027
Approximate (ZIP-level) locationGet directions
Mailing address
107 College Rd
Concord, MA 01742-1526
Registry dates
- Enumerated
- 2024-01-17
- Last updated
- 2024-01-17
- Certified
- 2024-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.