Individual
MS. CASSANDRA HOPE MCAVOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PTA, ATC
Contact information
Practice address
1187 N MECKLENBURG AVE, SOUTH HILL, VA 23950
(434) 447-3322
(434) 447-3282
Mailing address
1187 N MECKLENBURG AVE, P.O. BOX 217, LA CROSSE, VA 23950-1768
(434) 447-3322
(434) 447-3282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603047
VA
2255A2300X
Athletic Trainer
0126000234
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126000234
VA LICENSE NUMBER
VA
01
—
2306603047
VA LICENSE
VA
Enumeration date
01/11/2010
Last updated
06/15/2011
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