Anne Casey-Nielson

Individual provider Active NPI Occupational Therapist · Sebastopol, CA

NPI 1457679474 · NPPES record last updated May 14, 2010

Key facts

NPI
1457679474
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
3586 (CA)
Practice address
801 Hurlbut Ave
Sebastopol, CA 95472-2827
Phone
(707) 396-2541
NPI assigned
May 14, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3586CAMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3586 CA Yes

Addresses

Primary practice location

801 Hurlbut Ave
Sebastopol, CA 95472-2827

Mailing address

801 Hurlbut Ave
Sebastopol, CA 95472-2827

Other providers in Sebastopol, CA

All providers in Sebastopol, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.