Individual
KASSANDRA MARCELLA JEROME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
830 29TH ST, ORLANDO, FL 32805, KISSIMMEE, FL 32805
(407) 843-3230
Mailing address
2519 CHAPALA DR, KISSIMMEE, FL 34746-3447
(321) 284-7591
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30494
FL
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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