Provider Demographics
NPI:1184918245
Name:CASSELLA, LINDSAY (OT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:CASSELLA
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 1:145 STEFFEE BLVD
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-3035
Mailing Address - Country:US
Mailing Address - Phone:814-677-1390
Mailing Address - Fax:814-677-1393
Practice Address - Street 1:912 E STATE ST
Practice Address - Street 2:SUITE E
Practice Address - City:SHARON
Practice Address - State:PA
Practice Address - Zip Code:16146-3361
Practice Address - Country:US
Practice Address - Phone:724-981-0913
Practice Address - Fax:724-981-0916
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATOC102100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist