Individual
MISS KASSANDRA ANN FERDINAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
7452 ADMIRAL PEARY HWY STE 3, CRESSON, PA 16630-1706
(814) 408-2092
Mailing address
7452 ADMIRAL PEARY HWY STE 3, CRESSON, PA 16630-1706
(814) 408-2092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007392
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RT007392
ATHLETIC TRAINER
PA
Enumeration date
02/24/2021
Last updated
02/24/2021
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