Individual
KATHRYN ANN CASELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
(276) 669-0834
Mailing address
840 VANCE DR, BRISTOL, TN 37620-5706
(423) 989-9111
(423) 989-9111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000001757
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119003649
O.T. LICENSE NUMBER
VA
01
—
OT0000001757
O.T. LICENSE NUMBER
TN
Enumeration date
09/16/2006
Last updated
07/08/2007
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