Individual
CASEY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
615 STATE ROUTE 32 # 25, HIGHLAND MILLS, NY 10930-5226
(845) 827-5360
(845) 827-5361
Mailing address
615 STATE ROUTE 32 # 25, HIGHLAND MILLS, NY 10930-5226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009078
NY
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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