KELLY L COSTON

WILMINGTON, NC
NPI1982959847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NC  7600)
Enumeration Date2012-07-17
Last Update Date2012-07-17
Business Address
Mrs. KELLY L COSTON
4421 HUCKLEBERRY RD
WILMINGTON, NC 28405-8470
Phone number: 910-523-5314
Mailing Address
Mrs. KELLY L COSTON
4421 HUCKLEBERRY RD.
WILMINGTON, NC 28405
Phone number: 910-523-5314