Individual
DR. ALYCIA RAE PUSHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT, ATC, CSCS
Contact information
Practice address
1320 W MAIN ST, WATERBURY, CT 06708-3119
(203) 573-9518
Mailing address
1320 W MAIN ST, WATERBURY, CT 06708-3119
(203) 573-9518
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9886
CT
2255A2300X
Athletic Trainer
000223
CT
Other
Enumeration date
02/25/2007
Last updated
07/02/2020
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