Individual
MRS. CASANDRA LYNN WYSOCHANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8807
OR
225200000X
Physical Therapy Assistant
9681APTA
AZ
225200000X
Physical Therapy Assistant
PTA07550
OH
225200000X
Physical Therapy Assistant
TE009494
PA
Other
Enumeration date
02/14/2012
Last updated
01/07/2013
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