Individual
CASEY JEAN FALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HAVERHILL RD STE 292, AMESBURY, MA 01913-2119
(978) 834-6392
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10464
MA
Other
Enumeration date
06/16/2023
Last updated
08/09/2023
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