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NPI Code Detail

MEDICARE: MS. CLAUDIA CASACCIO

MEDICARE: MS. CLAUDIA CASACCIO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist288NE

General Provider Information

NPI Number : 1376891804
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAUDIA CASACCIO
Provider Business Mailing Address
First Line : 1820 HILLCREST DR
Second Line : SUITE A
City : BELLEVUE
State : NE
Zip : 68005-3636
Country : US
Telephone Number : 402-682-4804
Fax Number : 402-682-6563
Provider Business Practice Location Address
First Line : 1820 HILLCREST DR
Second Line : SUITE A
City : BELLEVUE
State : NE
Zip : 68005-3636
Country : US
Telephone Number : 402-682-4804
Fax Number : 402-682-6563
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2012
Last Update Date : 08/15/2012

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Directions to “ MS. CLAUDIA CASACCIO ” Practice Location

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