Individual
CASSANDRA CHENOWETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6701 JERSEY RIDGE RD, DAVENPORT, IA 52807-3203
(563) 386-2898
Mailing address
4727 230TH ST N, PORT BYRON, IL 61275-9427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
00760
IA
224Z00000X
Occupational Therapy Assistant
Primary
057005308
IL
Other
Enumeration date
01/31/2014
Last updated
02/19/2020
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