Individual
MRS. DIEDRE NICOLE NASH-PASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
930 THIERIOT AVE, 19A, BRONX, NY 10473-3244
(917) 645-8717
Mailing address
930 THIERIOT AVE, 19A, BRONX, NY 10473-3244
(917) 645-8717
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004560-1
NY
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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