Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CASSANDRA WILSON, PTA
Active Sole ProprietorCASSANDRA WILSON, PTA is a Developmental Therapist healthcare provider located in HAZLETON, Indiana. NPI 1386023307 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · HAZLETON, IN
Registration Details
- NPI Number
- 1386023307
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2015 (11.214298407842 yrs)
- Last Updated
- May 22, 2015
- License
-
06002568A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4495 E GIRO RDHAZLETON, IN, 476409303Browse IN providers · Browse ZIP 47640
- Phone
- 8126648531
- Primary Specialty
-
Developmental Therapist
222Q00000X
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.