Provider Demographics
NPI:1376762930
Name:CASES, MARJORIE (OT)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:CASES
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 PRITCHARD LN
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19086-6105
Mailing Address - Country:US
Mailing Address - Phone:610-566-3937
Mailing Address - Fax:610-566-3937
Practice Address - Street 1:101 W CHESTER PIKE
Practice Address - Street 2:SUITE 1B
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5315
Practice Address - Country:US
Practice Address - Phone:610-449-3580
Practice Address - Fax:610-449-3584
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008937225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist