| NPI | 1750484358 |
|---|---|
| Other Name | BRENDA L CASSELBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: AL 132) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: AL 132) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2016-11-11 |