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1215181466
MELISSA ANNE KOSTIC
MIDDLETOWN, NY
NPI
1215181466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: NY 005933-1)
Enumeration Date
2008-11-13
Last Update Date
2008-11-13
Business Address
MRS. MELISSA ANNE KOSTIC COTA
2277 GOSHEN TPKE
MIDDLETOWN, NY 10941-4032
Phone number: 845-692-4391
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Mailing Address
MRS. MELISSA ANNE KOSTIC COTA
23 RANDALL PLZ
PORT JERVIS, NY 12771-3126
Phone number: 845-858-0664
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