Healthcare Provider Details

I. General information

NPI: 1326985862
Provider Name (Legal Business Name): CASSANDRA R SWENSON ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18111 NORDHOFF ST
NORTHRIDGE CA
91330-8200
US

IV. Provider business mailing address

8031 SEPULVEDA BLVD APT 6
PANORAMA CITY CA
91402-4429
US

V. Phone/Fax

Practice location:
  • Phone: 818-677-1200
  • Fax:
Mailing address:
  • Phone: 818-277-9995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: