Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY M COSTICH, OTA
ActiveSTACEY M COSTICH, OTA is a Occupational Therapy Assistant healthcare provider located in MEDINA, New York. NPI 1497905251 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · MEDINA, NY
Registration Details
- NPI Number
- 1497905251
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2008 (17.851525053995 yrs)
- Last Updated
- Feb 21, 2020
- License
-
006251-1 (NY)
Practice Information
- Address
-
12005 TELEGRAPH RDMEDINA, NY, 141039678Browse NY providers · Browse ZIP 14103
- Phone
- 5857211241
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in MEDINA, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. TANIA MARIE FREEMAN | — | 1366741555 |
| MS. SAMANTHA GRACE NELSON | — | 1164192514 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.