Individual
CASSANDRA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1675 N NATIONAL RD, COLUMBUS, IN 47201-5501
(812) 799-1257
(812) 799-1258
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012121A
IN
Other
Enumeration date
08/20/2016
Last updated
01/02/2018
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