Individual
MRS. SANDRA ANN KOTESKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
11650 DOWNES ST NE, LOWELL, MI 49331-9489
(616) 897-7842
(616) 897-7054
Mailing address
11650 DOWNES ST NE, LOWELL, MI 49331-9489
(616) 897-7842
(616) 897-7054
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
08161
MI
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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