Provider Demographics
NPI:1104084342
Name:PIOTROWSKI, CASEY MEYER (OTR/L)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:MEYER
Last Name:PIOTROWSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 HILLSIDE CT
Mailing Address - Street 2:
Mailing Address - City:WISCONSIN DELLS
Mailing Address - State:WI
Mailing Address - Zip Code:53965-1309
Mailing Address - Country:US
Mailing Address - Phone:608-445-4213
Mailing Address - Fax:
Practice Address - Street 1:1010 HILLSIDE CT
Practice Address - Street 2:
Practice Address - City:WISCONSIN DELLS
Practice Address - State:WI
Practice Address - Zip Code:53965-1309
Practice Address - Country:US
Practice Address - Phone:608-445-4213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11092225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist