Casey Daniel Walsh
Developmental Therapist in Cromwell, CT. Individual provider (NPI-1).
NPI number1164057188
StatusActive
Last updated in NPPESMar 10, 2020
Details
- NPI
- 1164057188
- Entity type
- Individual (NPI-1)
- Name
- Mr. Casey Daniel Walsh
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 10, 2020
- Certification date
- Mar 10, 2020
- Last updated
- Mar 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 222Q00000X | Developmental Therapist | – | CT | Yes |
Practice location
162 West St Ste FCromwell, CT 06416-4405
Phone 860-613-9930 · Fax 860-613-9952
Mailing address
162 West St Ste FCromwell, CT 06416-4405
Phone 860-613-9330 · Fax 860-613-9952
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All 179 Developmental Therapist providers in Cromwell · All 759 providers in Cromwell
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