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General NPI Number Information
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NPI Number | 1437565462
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Entity Type | Individual
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Provider Name | ANN MARIE CASEY PT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 245 CHERRY ST SE STE 102
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4607
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Country | US
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Telephone | 616-201-3909
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Fax | 866-563-0637
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone | 630-296-2223
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Fax | 630-759-9510
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT60449782
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501303462
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License Number State | MI
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