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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CASSIDY LEE DEATLEY, COTA/L

Active Sole Proprietor

MRS. CASSIDY LEE DEATLEY, COTA/L is a Occupational Therapy Assistant healthcare provider located in BENTON, Kentucky. NPI 1063660322 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · BENTON, KY

Registration Details

NPI Number
1063660322
Provider Type
Individual
Gender
Female
NPI Issued
Aug 28, 2008 (17.927370252799 yrs)
Last Updated
Aug 28, 2008
License
KYA2844 (KY)
Sole Proprietor
Yes

Practice Information

Address
1926 OAK LEVEL RD
BENTON, KY, 420255322
Browse KY providers · Browse ZIP 42025
Phone
2709062115
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in BENTON, KY

Name Credential NPI
MARY JANE DARNELL COTA 1447419031
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.