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NPI Code Detail

MEDICARE: MS. CASEY LEE MARANO OT

MEDICARE: MS. CASEY LEE MARANO OT
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
1225XH1200XHand Occupational Therapist0764NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31619949732OTHERNVNPI NUMBER

General Provider Information

NPI Number : 1619949732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CASEY LEE MARANO OT
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2800 E DESERT INN RD
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89121-3608
Country : US
Telephone Number : 702-294-7499
Fax Number : 702-734-4901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 06/11/2024

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Directions to “ MS. CASEY LEE MARANO OT” Practice Location

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