| Cassandra Alexis Deforrest, ATC, LAT | |
|
2015 Highpointe Dr, Brandon, MS 39042-3169 | |
| (601) 724-7310 | |
| Not Available |
| Full Name | Cassandra Alexis Deforrest |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
| Location | 2015 Highpointe Dr, Brandon, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285142935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | AT0843 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Alexis Deforrest, ATC, LAT 861 Westerly Dr, Brandon, MS 39042-9579 Ph: (601) 383-4817 | Cassandra Alexis Deforrest, ATC, LAT 2015 Highpointe Dr, Brandon, MS 39042-3169 Ph: (601) 724-7310 |
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