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: |