Provider Demographics
NPI:1891467023
Name:PRISCO, LUCINDA (OTR)
Entity Type:Individual
Prefix:
First Name:LUCINDA
Middle Name:
Last Name:PRISCO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3441 BIG BEND DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-3703
Mailing Address - Country:US
Mailing Address - Phone:630-947-4762
Mailing Address - Fax:
Practice Address - Street 1:210 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:NORTH AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542-1700
Practice Address - Country:US
Practice Address - Phone:630-896-7778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist