Individual
CASSIDY ANNE HACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
717 NEIL AVE, COLUMBUS, OH 43215-1609
(419) 612-2649
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PTA012768
OH
Other
Enumeration date
02/27/2022
Last updated
02/27/2022
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