Individual
MS. KATHERINE SOPHIE CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5960 FAIRVIEW RD, SUITE 250, CHARLOTTE, NC 28210-3102
(980) 224-7958
(980) 224-7973
Mailing address
4006 CAMROSE CROSSING LN, MATTHEWS, NC 28104-6831
(224) 392-4872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11158
NC
Other
Enumeration date
12/19/2007
Last updated
10/29/2020
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