Individual
MISS CONSTANCE JEANNE CUSHING
Active
Individual
MISS CONSTANCE JEANNE CUSHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT MS
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PTH1387
AL
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
Update your record
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