Individual
CASEY NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 CROFTON BLVD STE 103, CROFTON, MD 21114-1342
(410) 451-5700
Mailing address
1655 CROFTON BLVD STE 103, CROFTON, MD 21114-1342
(410) 451-5700
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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