Individual
MRS. ASHLEY R CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTR/L
Contact information
Practice address
1300 FAYETTE ST, APT. 93, CONSHOHOCKEN, PA 19428-1337
(484) 532-7111
Mailing address
1300 FAYETTE ST, APT. 93, CONSHOHOCKEN, PA 19428-1337
(484) 532-7111
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT004044
PA
2255A2300X
Athletic Trainer
RTO000019
PA
225X00000X
Occupational Therapist
Primary
OC012155
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
NATA
PA
Enumeration date
02/11/2010
Last updated
07/30/2012
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