Individual provider · Type 1 NPI

Kelly Cousino, CTRS

Recreation Therapist · Detroit, MI

NPI number 1609904390 Active

Practice location

4646 John R St Rm A5109
Detroit, MI 48201-1916

Call (313) 576-1217 Map

Specialties and licenses

TaxonomyCodeLicense
Contractor 171W00000XNone listed
Recreation Therapist Primary 225800000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1609904390

Kelly Cousino, CTRS's National Provider Identifier is 1609904390, issued on Mar 2, 2007. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Detroit, MI. The record was last updated on Nov 3, 2021.