Individual
CASSANDRA KAY HERSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
3201 1ST ST, EMMETSBURG, IA 50536-2516
(712) 852-5420
Mailing address
2004 22ND ST, EMMETSBURG, IA 50536-2208
(712) 298-1498
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00932
IA
Other
Enumeration date
02/14/2007
Last updated
07/17/2007
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