Individual
KELLY ANNE CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3349 HIGHWAY 138 EAST, BUILDING B, SUITE A, WALL TOWNSHIP, NJ 07719
(732) 280-6050
Mailing address
36 BRYCE CANYON RD, HOWELL, NJ 07731-9050
(732) 615-7381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00817900
NJ
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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