TERESA DEYOUNG

PORTAGE, MI
NPI1043668247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MI  5202008106)
Enumeration Date2016-05-27
Last Update Date2019-10-10
Business Address
TERESA DEYOUNG COTA
5401 PORTAGE RD
PORTAGE, MI 49002-1797
Phone number: 269-372-7725
Mailing Address
TERESA DEYOUNG COTA
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506-4336
Phone number: 616-940-0040
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