Individual
SLOAN LAZZARESCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1139 HARTFORD AVE APT 5B, JOHNSTON, RI 02919-7124
(401) 623-6363
Mailing address
1139 HARTFORD AVE APT 5B, JOHNSTON, RI 02919-7124
(401) 623-6363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01478
RI
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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