Individual
JOHN PAUL LACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
575 8TH AVE, 6TH FLOOR, NEW YORK, NY 10018-3011
(212) 221-1544
Mailing address
110 HOWARD DR, APARTMENT A, BERGENFIELD, NJ 07621-4586
(929) 257-4999
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
018464-1
NY
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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