JENNIFER COSTLEY

SOUTHAVEN, MS
NPI1275293441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2021-12-29
Last Update Date2021-12-29
Business Address
JENNIFER COSTLEY COTA
3807
SOUTHAVEN, MS 38672
Phone number: 714-345-3268
Mailing Address
JENNIFER COSTLEY COTA
3807 COBBLEWOOD DR
SOUTHAVEN, MS 38672-6557
Phone number:
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