Individual
DR. CASSIDY LEEANN GAUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-4638
Mailing address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31008456A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31008456A
OT LICENSE
IN
Enumeration date
07/26/2021
Last updated
11/14/2024
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