Individual
JACQUELYN MARIE LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(585) 723-7000
Mailing address
25 HEARTHSTONE LN, ROCHESTER, NY 14617-2012
(516) 680-8503
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026291
NY
225XP0200X
Pediatric Occupational Therapist
Primary
5669
TN
Other
Enumeration date
08/07/2017
Last updated
01/14/2026
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