Provider Demographics
NPI:1801935077
Name:CASSOU, SARAH (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:
Last Name:CASSOU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 MAPLE AVE W
Mailing Address - Street 2:#231
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-5612
Mailing Address - Country:US
Mailing Address - Phone:703-626-8727
Mailing Address - Fax:
Practice Address - Street 1:7121 LEESBURG PIKE
Practice Address - Street 2:#207
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2361
Practice Address - Country:US
Practice Address - Phone:703-538-3830
Practice Address - Fax:703-538-3831
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104001683111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor