Cassandra Alexis Deforrest, ATC, LAT
NPI #1285142935 in Brandon, Mississippi
Provider Information
- NPI Number
- 1285142935
- Entity Type
- Individual
- Name
- Cassandra Alexis Deforrest, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation - Sports Medicine
- Credential
- ATC, LAT
- Enumeration Date
- Jan 16, 2018
- Last Updated
- Jan 16, 2018
Practice Location
- Address
- 2015 HIGHPOINTE DR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-3169
- Phone
- (601) 724-7310
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation - Sports Medicine — Sports Medicine |
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