Individual
MRS. JESSICA DESIREE CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-6762
Mailing address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-6762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004301
WA
Other
Enumeration date
07/28/2009
Last updated
02/02/2011
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