Individual
LISA JASIENOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
247 E 20TH ST, NEW YORK, NY 10003-1801
(917) 715-9751
Mailing address
341 W 24TH ST APT 6F, NEW YORK, NY 10011-1531
(917) 715-9751
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
018862-1
NY
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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