Individual
REBECCA M CASSITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9651 PRAIRIE RIDGE BLVD, PLEASANT PRAIRIE, WI 53158-1948
(262) 333-8158
Mailing address
4203 35TH AVE, KENOSHA, WI 53144-1999
(262) 705-5328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6779-26
WI
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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