Individual
SHERRY LYNN COSTONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
35746 HARPER AVE, CLINTON TOWNSHIP, MI 48035-3212
(586) 791-9203
(586) 791-9204
Mailing address
419 TENNYSON AVE, FLINT, MI 48507-2662
(810) 287-9963
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
L130014
MI
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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