Individual
JENNIFER P KUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
45 GEORGIAN RD, WESTON, MA 02493-2110
(781) 642-8350
Mailing address
45 GEORGIAN RD, WESTON, MA 02493-2110
(781) 642-8350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1661
MA
Other
Enumeration date
09/22/2007
Last updated
09/22/2007
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