Provider Demographics
NPI:1962145862
Name:RESCINITI, JESSICA ROSE (OTR/L)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ROSE
Last Name:RESCINITI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 COMMONS PARK S UNIT 1808
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-7072
Mailing Address - Country:US
Mailing Address - Phone:914-806-4855
Mailing Address - Fax:
Practice Address - Street 1:201 COMMONS PARK S UNIT 1808
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-7072
Practice Address - Country:US
Practice Address - Phone:914-806-4855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist