Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE1000646 | PA |
NPI | 1013320613 |
---|---|
Provider Name | Andrew Casel |
First Address | Lafayette Hill, PA 19444-2318 |
Second Address | Kennett Square, PA 19348 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2014 |
Last Update Date | 11/06/2014 |