Stacey M Costich, OTA

NPI #1497905251 in Medina, New York

Provider Information

NPI Number
1497905251
Entity Type
Individual
Name
Stacey M Costich, OTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
OTA
Enumeration Date
Sep 29, 2008
Last Updated
Feb 21, 2020

Practice Location

Address
12005 TELEGRAPH RD
City
Medina
ZIP Code
14103-9678
Phone
(585) 721-1241

Specialties & Taxonomy Codes

Specialty
Specialist
Occupational Therapy Assistant

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