Individual
CASSANDRA MARIE OTTAVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6060 PIEDMONT ROW DR S STE 500, CHARLOTTE, NC 28287-3803
(855) 501-1004
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(855) 501-1004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-11588
NC
363AM0700X
Medical Physician Assistant
014296-1
NY
Other
Enumeration date
10/28/2010
Last updated
05/05/2026
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