Provider Demographics
NPI:1851991301
Name:SASSAMAN, CATHLEEN (COTA/L)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:SASSAMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:CATHLEEN
Other - Middle Name:
Other - Last Name:MCHALE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:173 BUTTERNUT CT
Mailing Address - Street 2:
Mailing Address - City:SINKING SPRING
Mailing Address - State:PA
Mailing Address - Zip Code:19608-9776
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:173 BUTTERNUT CT
Practice Address - Street 2:
Practice Address - City:SINKING SPRING
Practice Address - State:PA
Practice Address - Zip Code:19608-9776
Practice Address - Country:US
Practice Address - Phone:484-333-3847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP001587L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant