Individual
LASCENA SHAMEKIA RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 JEROME AVE, BRONX, NY 10452-3301
(718) 538-8343
(718) 228-3771
Mailing address
1221 JEROME AVE, BRONX, NY 10452-3301
(718) 538-8343
(718) 228-3771
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008102-1
NY
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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