Cassi Petsch

NPI 1558662312 - Physical Therapist - 225100000X

NPI Details
NPI 1558662312
Gender Female
Enumeration Date 11/10/2010
Last Updated 11/10/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
917 BEVILLE RD
STE G
SOUTH DAYTONA FL, 32119-1712, US
Phone (800) 330-7711
Fax (866) 426-2811
Business Location
3101 PORT ROYALE BLVD
APT 1235
FORT LAUDERDALE FL, 33308-7810, US
Phone
Fax
Toxanomy
Taxonomy Code 225100000X
License State Texas
License Number 1192958
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According to our database, Cassi Petsch NPI is 1558662312, taxonomy code is 225100000X and license number is 1192958, license state is located at Texas. Cassi Petsch physically located at 917 Beville Rd, South Daytona FL, 32119-1712. NPI Number Cassi Petsch has the Individual type.

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1558662312 NPI number is provided on an as is basis without warranty of any kind. 1558662312 is maintained by the National Plan & Provider Enumeration System. The contents of Cassi Petsch are for informational purposes only.