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1770782708
MELISSA KAY KOSTREVA
PHOENIX, AZ
NPI
1770782708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WI 258019)
Enumeration Date
2007-07-11
Last Update Date
2007-07-11
Business Address
Mrs. MELISSA KAY KOSTREVA PTA
7540 NORTH 19TH AVE #200
PHOENIX, AZ 85021
Phone number: 888-873-4221
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Mailing Address
Mrs. MELISSA KAY KOSTREVA PTA
4935 BURG ROAD
LENA, WI 54139
Phone number: 920-829-5739
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