Provider Demographics
NPI:1154910321
Name:ROSSMAN, CASSIDY ELIZABETH (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:CASSIDY
Middle Name:ELIZABETH
Last Name:ROSSMAN
Suffix:
Gender:
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:CASSIDY
Other - Middle Name:ELIZABETH
Other - Last Name:HORODECZNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3851 COMMERCIAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-4146
Mailing Address - Country:US
Mailing Address - Phone:843-314-5434
Mailing Address - Fax:
Practice Address - Street 1:3386 YAMPA ST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2045
Practice Address - Country:US
Practice Address - Phone:803-233-4505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6070225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist