Individual
RACHEL KATHRYN CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1600 S 4TH AVE, SUITE 135, MORTON, IL 61550-2889
(309) 263-2481
Mailing address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 692-8110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004310
IL
Other
Enumeration date
04/17/2008
Last updated
07/15/2013
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