Individual
RAQUEL PAIGE VESCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20 MANOR DR, OSWEGO, NY 13126-6495
(315) 349-5300
Mailing address
306 LEONARD ST, SYRACUSE, NY 13211-1465
(315) 484-8914
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
P06556
NY
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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