Individual
KELLY NICOLE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA,L
Contact information
Practice address
561 ROUTE 9W, PIERMONT, NY 10968-1116
(914) 965-1152
Mailing address
5 ANDERSON DR, STONY POINT, NY 10980-2438
(845) 825-2456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009524-1
NY
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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