CASSANDRA ALEXIS DEFORREST

BRANDON, MS
NPI1285142935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: MS  AT0843)
Enumeration Date2018-01-16
Last Update Date2018-01-16
Business Address
CASSANDRA ALEXIS DEFORREST ATC, LAT
2015 HIGHPOINTE DR
BRANDON, MS 39042-3169
Phone number: 601-724-7310
Mailing Address
CASSANDRA ALEXIS DEFORREST ATC, LAT
861 WESTERLY DR
BRANDON, MS 39042-9579
Phone number: 601-383-4817