Individual
MS. PAMELA F LACASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2225 WESTERN AVE, GUILDERLAND, NY 12084-9747
(518) 869-0293
(518) 464-6458
Mailing address
12 CONWAY CIR, LOUDONVILLE, NY 12211-2649
(518) 724-6416
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001172-1
NY
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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