Individual
CASEY TREVER STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
500 AZ-89, PRESCOTT, AZ 86301
(928) 445-4860
Mailing address
500 AZ-89, PRESCOTT, AZ 86301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120580
TX
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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