Individual
DAVID CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 N MAIN ST, WEST HARTFORD, CT 06107-1933
(860) 561-3960
Mailing address
29 N MAIN ST, WEST HARTFORD, CT 06107-1933
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
012385
SC
225100000X
Physical Therapist
Primary
014236
CT
Other
Enumeration date
11/09/2023
Last updated
12/18/2025
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