Individual
MISS CASSANDRA ANNE PASSAMONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
667 S RIVER ST, PLAINS, PA 18705-1013
(570) 825-7676
Mailing address
1179 WYOMING AVE REAR APT, EXETER, PA 18643-1814
(570) 357-3855
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TPTA000689
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1901959880
AMERIHEALTH
PA
01
—
9901410991
MAGNACARE
—
Enumeration date
12/31/2020
Last updated
12/31/2020
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