Individual
CASSIE MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 EASTGATE DR, AIKEN, SC 29803-7688
(803) 335-1029
Mailing address
1012 ADRIAN ST, AUGUSTA, GA 30904-4122
(706) 399-9085
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2770
SC
Other
Enumeration date
08/07/2009
Last updated
08/07/2024
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