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Individual

MS. CASEY LEE MARANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2800 E DESERT INN RD, SUITE 100, LAS VEGAS, NV 89121-3608
(702) 294-7499
(702) 734-4901
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0764
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100505294
AZ
01
1619949732
NPI NUMBER
NV
05
1619949732
NV
Enumeration date
02/02/2006
Last updated
06/11/2024
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