| NPI | 1063933224 |
|---|---|
| Former Name | AMANDA CASEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: DE U2-0012241) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009045-1) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-11 |