Individual
ELISSA RAE CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, ATP
Contact information
Practice address
14557 W INDIAN SCHOOL RD # 500, GOODYEAR, AZ 85395-9243
(623) 242-6908
(623) 242-6909
Mailing address
14557 W INDIAN SCHOOL RD # 500, GOODYEAR, AZ 85395-9243
(623) 242-6908
(623) 242-6909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008145
AZ
Other
Enumeration date
07/03/2019
Last updated
11/16/2021
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