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: |