Individual
MS. CASSANDRA L WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6100 MILLER AVE, GARY, IN 46403-2469
(219) 763-0511
(219) 763-0511
Mailing address
4246 GEORGIA ST, GARY, IN 46409-2032
(219) 455-5517
(219) 753-0511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3201616A
IN
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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