Individual
MRS. CASSANDRA MARIE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3750 W PROVIDENCE DR, FAYETTEVILLE, AR 72704-6245
(417) 259-3353
Mailing address
3750 W PROVIDENCE DR, FAYETTEVILLE, AR 72704-6245
(417) 259-3353
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
437
AR
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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