Individual
ALISA A DECESARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2195 FALLVIEW DR, PUEBLO, CO 81006-1755
(719) 369-1293
Mailing address
2195 FALLVIEW DR, PUEBLO, CO 81006-1755
(719) 369-1293
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0006899
CO
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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