Provider Demographics
NPI:1598962177
Name:KASSABIAN, WILLIAM T SR
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:T
Last Name:KASSABIAN
Suffix:SR
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 1:725 CHURCH LN
Mailing Address - Street 2:
Mailing Address - City:YEADON
Mailing Address - State:PA
Mailing Address - Zip Code:19050-3502
Mailing Address - Country:US
Mailing Address - Phone:610-626-1772
Mailing Address - Fax:
Practice Address - Street 1:725 CHURCH LN
Practice Address - Street 2:
Practice Address - City:YEADON
Practice Address - State:PA
Practice Address - Zip Code:19050-3502
Practice Address - Country:US
Practice Address - Phone:610-626-1772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter