Provider Demographics
NPI:1538439773
Name:CALE, CASEY MARIE (OT)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:MARIE
Last Name:CALE
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 1:109 N ARMSTRONG ST
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-4449
Mailing Address - Country:US
Mailing Address - Phone:918-366-2200
Mailing Address - Fax:918-366-2365
Practice Address - Street 1:109 N ARMSTRONG ST
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-4449
Practice Address - Country:US
Practice Address - Phone:918-366-2200
Practice Address - Fax:918-366-2365
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1716225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics