Individual
CASSANDRA THOMAS MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2301 COIT RD STE B, PLANO, TX 75075-3773
(972) 599-9191
(972) 599-2323
Mailing address
2301 COIT RD STE B, PLANO, TX 75075-3773
(972) 599-9191
(972) 599-2323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1234316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234316
P.T. LICENSE
TX
Enumeration date
08/13/2013
Last updated
10/02/2019
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