Individual
BEVERLY CUSICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY
Contact information
Practice address
305 SOCIETY DR, C-3, TELLURIDE, CO 81435-8936
(970) 728-7078
(970) 728-7028
Mailing address
305 SOCIETY DR, C-3, TELLURIDE, CO 81435-8936
(970) 728-7078
(970) 728-7028
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
4332
CO
Other
Enumeration date
04/18/2006
Last updated
07/08/2007
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