Individual
AMANDA KUSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8000 YORK RD, TOWSON, MD 21252-0001
(855) 888-4437
Mailing address
400 SYMPHONY CIR UNIT 260, COCKEYSVILLE, MD 21030-2036
(630) 337-0515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001596
MD
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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