Thomas John Costello Jr., MOTR/L
Occupational Therapist in Spokane Valley, WA. Individual provider (NPI-1).
NPI number1053123729
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1053123729
- Entity type
- Individual (NPI-1)
- Name
- Mr. Thomas John Costello Jr.
- Credential
- MOTR/L
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2025
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OT61647885 | WA | Yes |
Other names
- Tommy John Costello (Professional Name)
Practice location
16528 E Desmet Ct Ste B2200Spokane Valley, WA 99216-3522
Phone 509-944-8920
Mailing address
Po Box 31001-4114Pasadena, CA 91110-4114
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All 71 Occupational Therapist providers in Spokane Valley · All 3,759 providers in Spokane Valley
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