Healthcare Provider Details

I. General information

NPI: 1801505326
Provider Name (Legal Business Name): CASSIE CIUK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2022
Last Update Date: 11/23/2022
Certification Date: 11/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 GRAFTON ST
SHREWSBURY MA
01545-6236
US

IV. Provider business mailing address

307 GRAFTON ST
SHREWSBURY MA
01545-6236
US

V. Phone/Fax

Practice location:
  • Phone: 508-841-5037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number26539
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: