Provider Demographics
NPI:1235409327
Name:KUJANEK, CASSANDRA LEE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:LEE
Last Name:KUJANEK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:765 N STARR DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8777
Mailing Address - Country:US
Mailing Address - Phone:614-286-7311
Mailing Address - Fax:
Practice Address - Street 1:903 E HOUSTON ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4602
Practice Address - Country:US
Practice Address - Phone:281-593-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1211698225100000X
OH013475225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist