Provider Demographics
NPI:1467063354
Name:HING, CASSIDY HUTCHINS (PT,DPT)
Entity Type:Individual
Prefix:MRS
First Name:CASSIDY
Middle Name:HUTCHINS
Last Name:HING
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 1:1809 VERDUGO BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1417
Mailing Address - Country:US
Mailing Address - Phone:818-952-8707
Mailing Address - Fax:818-952-6307
Practice Address - Street 1:1809 VERDUGO BLVD STE 160
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91208-1417
Practice Address - Country:US
Practice Address - Phone:818-952-8707
Practice Address - Fax:818-952-6307
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA298729208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA298729OtherPHYSICAL THERAPY BOARD