Individual
JOYCE E CUSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 NE LOOP 410 STE 610, SAN ANTONIO, TX 78216-5866
(210) 591-6100
Mailing address
12303 TANGERINE ST, SAN ANTONIO, TX 78247-4338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011524
TX
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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