Individual
CASSANDRA LEIGH COMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1251 S MAIN ST, MIDDLETOWN, CT 06457-5050
(860) 347-4426
(860) 704-5998
Mailing address
1251 S MAIN ST, MIDDLETOWN, CT 06457-5050
(860) 347-4426
(860) 704-5998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7327
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007327CT05
BLUE CROSS BLUE SHIELD
CT
Enumeration date
08/01/2006
Last updated
09/19/2007
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