Individual
MS. JENNIFER ANNA LASSONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
100 DEBARTOLO PL, SUITE 200, BOARDMAN, OH 44512-7011
(330) 965-7828
Mailing address
129 DIANA DR, YOUNGSTOWN, OH 44514-3712
(330) 774-5609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.006660
OH
Other
Enumeration date
09/28/2006
Last updated
02/05/2014
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