| NPI | 1811534589 |
|---|---|
| Former Name | CASSANDA ANN COLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2024-08-16 |