Individual
JORDAN LACOSTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N LEWIS RUN RD, PITTSBURGH, PA 15122-3056
(412) 466-0600
Mailing address
433 S AIKEN AVE APT 32, PITTSBURGH, PA 15232-1235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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