Individual
JESSICA PASCUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
530 HERZEL BLVD, WEST BABYLON, NY 11704-3713
(631) 457-3713
Mailing address
530 HERZEL BLVD, WEST BABYLON, NY 11704-3713
(631) 457-3713
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007675-01
NY
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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