Individual
CASEY XANTHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 ROUTE 211 E STE 104-300, MIDDLETOWN, NY 10940-3109
(845) 728-1623
Mailing address
76 ST JOHN ST, GOSHEN, NY 10924-1536
(845) 754-1454
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011460
NY
Other
Enumeration date
10/10/2023
Last updated
10/11/2023
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