Individual
CASSI PETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 BEVILLE RD, STE G, SOUTH DAYTONA, FL 32119-1712
(800) 330-7711
(866) 426-2811
Mailing address
3101 PORT ROYALE BLVD, APT 1235, FORT LAUDERDALE, FL 33308-7810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1192958
TX
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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