Most Relevant Information
Provider Data
| NPI Number: | 1003683129 |
| Provider Name: | CARLA NICASIO |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OTL15174 |
Most Important Dates
| Enumeration Date: | 12/08/2023 |
| Last Updated: | 12/08/2023 |
Provider Practice Location
49 WALNUT ST BLDG 3
WELLESLEY
MA
024812108
Practice Location Phone/Fax
| Phone: | 7812390100 |
| Fax: |
Provider Mailing Location
49 WALNUT ST BLDG 3
WELLESLEY
MA
024812108
Provider Mailing Phone/Fax
| Phone: | 7812390100 |
| Fax: |