ADISLEN COSTA

WYOMING, MI
NPI1831647684
Former NameADISLEN PEREZ-VARELA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501017889)
Enumeration Date2016-09-21
Last Update Date2016-09-21
Business Address
-- ADISLEN COSTA PT, DPT
2786 56TH ST SW
WYOMING, MI 49418-8708
Phone number: 616-260-9641
Mailing Address
-- ADISLEN COSTA PT, DPT
7667 COCONUT DR
JENISON, MI 49428-9170
Phone number: 616-260-9641
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