Individual
MAUREEN CASEY IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1234 S PARK BLVD, FREEPORT, IL 61032-4602
(608) 617-2275
Mailing address
7733 CARRINGTON DR, APT E, MADISON, WI 53719-2835
(608) 617-2275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010853
IL
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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