Individual
AMY CASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5911 W STATE ROAD 46, BLOOMINGTON, IN 47404-9359
(812) 876-6400
Mailing address
4591 WILBUR RD, MARTINSVILLE, IN 46151-9553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003093A
IN
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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