Provider Demographics
NPI:1225343593
Name:QUINT, CASEY
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:QUINT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31A HOULTON RD
Mailing Address - Street 2:
Mailing Address - City:DANFORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04424-3138
Mailing Address - Country:US
Mailing Address - Phone:207-448-2882
Mailing Address - Fax:
Practice Address - Street 1:31A HOULTON RD
Practice Address - Street 2:
Practice Address - City:DANFORTH
Practice Address - State:ME
Practice Address - Zip Code:04424-3138
Practice Address - Country:US
Practice Address - Phone:207-448-2882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2302225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist