Healthcare Provider Details

I. General information

NPI: 1831473461
Provider Name (Legal Business Name): LUCILLE F PASCO OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2011
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CALELLA RD STE A
HOT SPRINGS VILLAGE AR
71909-3185
US

IV. Provider business mailing address

1635 HIGDON FERRY RD STE G
HOT SPRINGS AR
71913-6904
US

V. Phone/Fax

Practice location:
  • Phone: 501-915-8478
  • Fax: 501-525-2273
Mailing address:
  • Phone: 501-525-2273
  • Fax: 501-525-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTR944
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: