Provider Demographics
NPI:1225684509
Name:NEWNAM, CASSANDRA JO (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:CASSANDRA
Middle Name:JO
Last Name:NEWNAM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:CASSANDRA
Other - Middle Name:JO
Other - Last Name:ZANOLINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1456 FERRY ROAD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2391
Mailing Address - Country:US
Mailing Address - Phone:215-489-3234
Mailing Address - Fax:215-489-0131
Practice Address - Street 1:1456 FERRY RD UNIT 601
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2391
Practice Address - Country:US
Practice Address - Phone:215-489-3234
Practice Address - Fax:215-489-0131
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT028066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist