Individual
CASEY GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 GREENBRIAR DR, SOUTHLAKE, TX 76092-8355
(817) 442-9022
Mailing address
816 SIERRA LN, KELLER, TX 76248-2845
(817) 307-3092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
06/13/2023
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