KELLY COUSINO, CTRS
Recreation Therapist
Active
Individual
NPI: 1609904390
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | No | - |
| Recreation Therapist | 225800000X | Yes | - |
Frequently Asked Questions
NPI 1609904390 is the National Provider Identifier for KELLY COUSINO, CTRS, a Recreation Therapist provider located in Detroit, MI. This NPI was enumerated on March 2, 2007.
KELLY COUSINO, CTRS practices at 4646 JOHN R ST RM A5109, Detroit, MI 48201.
Quick Facts
- NPI
- 1609904390
- Type
- Individual
- Enumerated
- Mar 2, 2007
- Last Updated
- Nov 3, 2021
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