Provider Demographics
NPI:1629859475
Name:CASEY, MADELINE GRACE SNELL (OTD, OTR)
Entity Type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:GRACE SNELL
Last Name:CASEY
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S HEIGHTS BLVD APT 2918
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5864
Mailing Address - Country:US
Mailing Address - Phone:281-714-9213
Mailing Address - Fax:
Practice Address - Street 1:11133 INTERSTATE 45 S STE 190
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-5834
Practice Address - Country:US
Practice Address - Phone:936-494-0570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124123225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist