| NPI | 1992101430 |
|---|---|
| Former Name | CASSIE THOMPSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 7586) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT017797) |
| Enumeration Date | 2014-11-11 |
| Last Update Date | 2023-09-24 |