Provider Demographics
NPI:1477897361
Name:CASON, GINGER (PT)
Entity Type:Individual
Prefix:MRS
First Name:GINGER
Middle Name:
Last Name:CASON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14115 BRAMBOROUGH RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3723
Mailing Address - Country:US
Mailing Address - Phone:704-948-0416
Mailing Address - Fax:
Practice Address - Street 1:14115 BRAMBOROUGH RD
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-3723
Practice Address - Country:US
Practice Address - Phone:704-948-0416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6983225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist