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1215482120
CASSANDRA WISE
COLUMBUS, IN
NPI
1215482120
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Former Name
CASSANDRA BLACKBURN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05012121A)
Enumeration Date
2016-08-20
Last Update Date
2018-01-02
Business Address
CASSANDRA WISE PT
1675 N NATIONAL RD
COLUMBUS, IN 47201-5501
Phone number: 812-799-1257
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Mailing Address
CASSANDRA WISE PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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