Provider Demographics
NPI:1528405149
Name:CASAS, CLAUDIA EDITH (OTR)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:EDITH
Last Name:CASAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 E TEXAS RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-6964
Mailing Address - Country:US
Mailing Address - Phone:956-560-7779
Mailing Address - Fax:
Practice Address - Street 1:13600 E HWY 107 STE 6
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-1645
Practice Address - Country:US
Practice Address - Phone:956-386-9008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115444225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist