Individual ProviderErmanno Renato CostabilePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address700 Geipe Rd, Ste 240, Catonsville, MD 21228-4147(410) 747-8571(410) 549-9225PECOS EnrollmentBased on the most recent information from CMS, provider Ermanno Renato Costabile does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1417913450Provider TypeIndividualFull NameCostabile, Ermanno RenatoCredentialP.T.GenderMaleSole ProprietorYesEnumeration Date4/26/2006Last Updated8/29/2007Contact InformationPractice LocationPractice Address700 Geipe Rd, Ste 240, Catonsville, MD 21228-4147Phone(410) 747-8571Fax(410) 747-9050Mailing LocationMailing Address7110 Harlan Ln, Sykesville, MD 21784-7559Phone(410) 549-9225FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense16246Maryland