Provider Demographics
NPI:1972158061
Name:TWORZYDLO, CASSANDRA LEIGH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:LEIGH
Last Name:TWORZYDLO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:LEIGH
Other - Last Name:ROTHERAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO BOX 2
Mailing Address - Street 2:
Mailing Address - City:ALLENPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15412-0002
Mailing Address - Country:US
Mailing Address - Phone:724-554-4424
Mailing Address - Fax:
Practice Address - Street 1:1490 E HIGH ST
Practice Address - Street 2:
Practice Address - City:WAYNESBURG
Practice Address - State:PA
Practice Address - Zip Code:15370-9558
Practice Address - Country:US
Practice Address - Phone:724-627-9489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027915225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist