Individual
CASSANDRA RAE TRAETOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4343 ALL SEASONS DR STE 140, HILLIARD, OH 43026-1962
(614) 544-1401
(614) 544-1403
Mailing address
4343 ALL SEASONS DR STE 140, HILLIARD, OH 43026-1962
(614) 544-1401
(614) 544-1403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50003999
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000874248
ANTHEM
OH
05
—
0099185
—
OH
Enumeration date
02/25/2014
Last updated
02/21/2024
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