Provider Demographics
NPI:1316902364
Name:CASSIDY, LINDA MARIE (PT)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:MARIE
Last Name:CASSIDY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 GLEN ESTE WITHAMSVILLE RD
Mailing Address - Street 2:STE 1500
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-1335
Mailing Address - Country:US
Mailing Address - Phone:513-753-2133
Mailing Address - Fax:513-753-1804
Practice Address - Street 1:7695 BEECHMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4216
Practice Address - Country:US
Practice Address - Phone:513-232-1847
Practice Address - Fax:513-232-2491
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT007337174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist