Cousino, Kelly

Cousino, Kelly is an individual health care provider with primary practice located at 4646 John R St Rm A5109 , Detroit MI 48201-1916. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist is her primary health care specialty. Cousino, Kelly can be contacted via phone (313) 576-1217.

Contact Information

Primary practice address
4646 John R St Rm A5109 Detroit MI 48201-1916
Phone: (313) 576-1217
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1609904390
LBN Legal business name Cousino, Kelly
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Nov 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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