Healthcare Provider Details

I. General information

NPI: 1730577453
Provider Name (Legal Business Name): CASSIDY BESS MARANG DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSIDY GEOPEL

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 BANTAM RD STE 9
LITCHFIELD CT
06759-3225
US

IV. Provider business mailing address

87 LAKE DR
BETHLEHEM CT
06751-1213
US

V. Phone/Fax

Practice location:
  • Phone: 959-209-4318
  • Fax: 959-209-4336
Mailing address:
  • Phone: 860-480-4789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11338
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: