Individual
JOEL JAY COUSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, RKT
Contact information
Practice address
3130 CENTRAL PARK W, SUITE A, TOLEDO, OH 43617-1094
(419) 841-9622
(419) 843-8288
Mailing address
4511 WILLYS PKWY, TOLEDO, OH 43612-2205
(419) 343-7361
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08695
OH
226300000X
Kinesiotherapist
1163
—
Other
Enumeration date
11/21/2006
Last updated
09/30/2013
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