Individual
MS. ANDREA KUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
1400 VFW PKWY, WEST ROXBURY VA MEDICAL CENTER, WEST ROXBURY, MA 02132-4927
(617) 835-0004
Mailing address
6 HIGHPOINT CIR APT 115, QUINCY, MA 02169-4660
(617) 835-0004
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
2255A2300X
Athletic Trainer
1418
MA
Other
Enumeration date
05/04/2007
Last updated
12/03/2008
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