Individual
AMY ELIZABETH KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1520 CENTRAL PARK DR APT 8, GREENVILLE, MI 48838-3609
(269) 366-7436
Mailing address
1520 CENTRAL PARK DR APT 8, GREENVILLE, MI 48838-3609
(269) 366-7436
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
84815
MI
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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