(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003539628
Provider Name: CASSADNRA TESORIERO-HICKS
Entity Type: Individual
Taxonomy Code: 225X00000X
Specialty: Occupational Therapist
License Number: 026989
Most Important Dates
Enumeration Date: 09/20/2022
Last Updated: 09/20/2022
Provider Practice Location
606 OLD ROUTE 17
MONTICELLO
NY
127017013
Practice Location Phone/Fax
Phone: 8457941400
Fax:
Provider Mailing Location
320 TRACY ST
HONESDALE
PA
184311106
Provider Mailing Phone/Fax
Phone:
Fax: