Individual
KATIE WASSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Mailing address
1406 RIDGECREST RD, JOHNSON CITY, TN 37604-7730
(716) 799-7713
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8786
TN
225100000X
Physical Therapist
PT017932
PA
Other
Enumeration date
08/15/2007
Last updated
07/05/2013
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