Individual
KRISTINE LALICON COSTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
99 ESSEX ST, 2ND FLOOR, NEW YORK, NY 10002-3207
(121) 256-6885
Mailing address
99 ESSEX ST, 2ND FLOOR, NEW YORK, NY 10002-3207
(121) 256-6885
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014812
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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