Individual provider · Type 1 NPI
Cassandra Wilson, PTA
Developmental Therapist · Hazleton, IN
Practice location
4495 E Giro Rd
Hazleton, IN 47640-9303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | 06002568A (IN) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
About NPI 1386023307
Cassandra Wilson, PTA's National Provider Identifier is 1386023307, issued on May 22, 2015. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Hazleton, IN. The record was last updated on May 22, 2015.