Individual
ELAINA LYNN COSCARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 S PENNSYLVANIA AVE, LANSING, MI 48911-4049
(517) 393-7325
Mailing address
5400 S PENNSYLVANIA AVE, LANSING, MI 48911-4049
(517) 393-7325
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
5201011384
MI
Other
Enumeration date
07/24/2018
Last updated
09/09/2021
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