Provider Demographics
NPI:1720592728
Name:GARROW, CASSIDY CHRISITINE
Entity Type:Individual
Prefix:
First Name:CASSIDY
Middle Name:CHRISITINE
Last Name:GARROW
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CENTER CT
Mailing Address - Street 2:
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2424
Mailing Address - Country:US
Mailing Address - Phone:603-370-2677
Mailing Address - Fax:
Practice Address - Street 1:16 CENTER CT
Practice Address - Street 2:
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042-2424
Practice Address - Country:US
Practice Address - Phone:603-370-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program