Provider Demographics
NPI:1235824079
Name:SINGER, CASSEN TREVOR
Entity Type:Individual
Prefix:
First Name:CASSEN
Middle Name:TREVOR
Last Name:SINGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1656 PA-228
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-1656
Mailing Address - Country:US
Mailing Address - Phone:724-591-8900
Mailing Address - Fax:
Practice Address - Street 1:1656 PA-228
Practice Address - Street 2:SUITE 102
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066
Practice Address - Country:US
Practice Address - Phone:724-591-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-07
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE013132225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant