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NPI Code Detail

MEDICARE: CASSANDRA WALD

MEDICARE: CASSANDRA WALD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1801225685
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA WALD
Provider Business Mailing Address
First Line : 1891 STATION PKWY NW
Second Line :
City : ANDOVER
State : MN
Zip : 55304-3341
Country : US
Telephone Number : 763-755-4275
Fax Number :
Provider Business Practice Location Address
First Line : 1891 STATION PKWY NW
Second Line :
City : ANDOVER
State : MN
Zip : 55304-3341
Country : US
Telephone Number : 763-755-4275
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2013
Last Update Date : 11/01/2022

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Directions to “ CASSANDRA WALD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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