Black, Casandra Marie

Black, Casandra Marie is an individual health care provider with primary practice located at 4 Batchelder Rd , Windsor CT 06095-3028. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Black, Casandra Marie can be contacted via phone (860) 687-6171.

Contact Information

Primary practice address
4 Batchelder Rd Windsor CT 06095-3028
Phone: (860) 687-6171
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1792 Connecticut

Profile Details

NPI number 1477210979
LBN Legal business name Black, Casandra Marie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2021
Last updated Sep 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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