Individual
CASSANDRA JOANN WIGBOLDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1335 CYPRESS ST STE 100, SAN DIMAS, CA 91773-3538
(909) 305-1383
Mailing address
PO BOX 99, SAN DIMAS, CA 91773-0099
(909) 305-1383
(909) 305-1435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT294219
CA
Other
Enumeration date
12/19/2017
Last updated
08/23/2022
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