Individual
CASEY BECK MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OT
Contact information
Practice address
5 LONG LN STE 2, ELLSWORTH, ME 04605-1734
(208) 619-1172
Mailing address
107 KENDUSKEAG AVE APT 2, BANGOR, ME 04401-3805
(207) 491-0254
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4658
ME
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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