Individual
CASEY TUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1454 HORSESHOE COVE RD, WAVERLY, GA 31565-2110
(850) 294-4666
Mailing address
1454 HORSESHOE COVE RD, WAVERLY, GA 31565-2110
(850) 294-4666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4299
SC
225XP0200X
Pediatric Occupational Therapist
Primary
OT007478
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP6269
—
SC
05
—
TH2750
—
SC
Enumeration date
04/30/2014
Last updated
03/28/2025
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