Individual
CASSIDY COTHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2993 SUNSET BLVD, WEST COLUMBIA, SC 29169-3421
(803) 939-0026
Mailing address
101 WAVERLY POINT DR, LEXINGTON, SC 29072-1805
(803) 397-6197
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4604
SC
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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