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Individual

CASSANDRA J CLELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
100 MOUNTAIN VIEW DR, SUITE 100, CUMMING, GA 30040-2434
(770) 889-2163
Mailing address
PO BOX 518, JONESBORO, GA 30237-0518
(770) 631-8277
(770) 631-9403

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
GA1193
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GA1193
STATE LISC NUMBER
GA
Enumeration date
11/06/2006
Last updated
02/27/2025
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