Provider Demographics
NPI:1326428947
Name:HILL-SMITH, CASEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:HILL-SMITH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 RUSTIC WAY
Mailing Address - Street 2:
Mailing Address - City:NEW GLOUCESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04260-3863
Mailing Address - Country:US
Mailing Address - Phone:207-217-5542
Mailing Address - Fax:
Practice Address - Street 1:40 RUSTIC WAY
Practice Address - Street 2:
Practice Address - City:NEW GLOUCESTER
Practice Address - State:ME
Practice Address - Zip Code:04260-3863
Practice Address - Country:US
Practice Address - Phone:207-217-5542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT4161225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist