Ralph completed his Bachelor's degree in Occupational Therapy, from Boston University, in 1974. In 1982 he obtained a Master's in Psychology from RPI, and in 1984, a Master's in Education from SUNY Albany. He played a significant role in the passage of the Occupational Therapy Licensure Bill in New York State. He was president of the Capital District chapter of the New York State Occupational Therapy Association for several years. He was one of the three therapists who established and obtained national accreditation for the occupational therapy assistant program at Maria College, in Albany, NY. He also served as a faculty member during the 1980-1981 academic years. Ralph established and operated Regional Rehabilitation, an occupational, physical, and speech therapy company, which employed up to 150 therapists. When he closed Regional Rehabilitation in 2002, he accepted a management position at Restore Therapy, PLLC. While at Restore Therapy, he has established relationships with several colleges, for the training of both therapists and assistant level students. Mr. La Casio is currently Managing Director of Occupational Therapy Services and is a member of the company's compliance team, as well as a founding board member of In Flight, Inc.