Individual
LUCILLE F PASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1600 RIVERFRONT DR, LITTLE ROCK, AR 72202
(501) 663-1903
Mailing address
6911 BLACK GUM CIR, FORT SMITH, AR 72916-8924
(501) 538-5397
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR944
AR
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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