Basic Information
| Provider Information | |||||||||
| NPI: | 1871146852 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | USRY | ||||||||
| FirstName: | CASSONDRA | ||||||||
| MiddleName: | MICHELLE | ||||||||
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| Credential: | OTD, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 22 W LEIGH ST | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232203209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368477337 | ||||||||
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| Practice Location | |||||||||
| Address1: | 107 E 3RD AVE | ||||||||
| Address2: | |||||||||
| City: | FRANKLIN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 238511719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7577763088 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/19/2019 | ||||||||
| LastUpdateDate: | 07/19/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 0119-008271 | VA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.