Individual
LISA CERASOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
225 WEST AVE, HILTON, NY 14468-1253
(585) 392-1000
Mailing address
816 TINKER TAVERN RD, WEBSTER, NY 14580-8945
(585) 455-2146
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003979-1
NY
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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