Individual
STEPHANIE BROOKE COSTYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1248 KEBLE LN, OXFORD, MI 48371-5904
(248) 724-8706
Mailing address
1248 KEBLE LN, OXFORD, MI 48371-5904
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
64039
MI
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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