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Individual
SPENCER THOMAS CUSHMAN
Active
Individual
SPENCER THOMAS CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305215852
VA
225100000X
Physical Therapist
Primary
PTL.0020450
CO
Other
Enumeration date
06/16/2023
Last updated
04/02/2025
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