Provider Demographics
NPI:1447659412
Name:HAPER, CASEY
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:HAPER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 E. WHITTIER AVE
Mailing Address - Street 2:FAIRBORN CITY SCHOOLS
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324
Mailing Address - Country:US
Mailing Address - Phone:937-878-8668
Mailing Address - Fax:937-879-8196
Practice Address - Street 1:306 E. WHITTIER AVE
Practice Address - Street 2:FAIRBORN CITY SCHOOLS
Practice Address - City:FAIRBORN
Practice Address - State:OH
Practice Address - Zip Code:45324
Practice Address - Country:US
Practice Address - Phone:937-878-8668
Practice Address - Fax:937-879-8196
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6615225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist