Individual
ALESCIA C FORD-LANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, ATP
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
002905
CT
225X00000X
Occupational Therapist
Primary
002905
CT
231HA2400X
Assistive Technology Practitioner Audiologist
86644
CT
Other
Enumeration date
05/20/2008
Last updated
07/25/2019
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