Individual
MRS. AMY M CUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PT ATC
Contact information
Practice address
7700 RIVER RD, NORTH BERGEN, NJ 07047-6201
(201) 861-1940
(201) 861-8951
Mailing address
7 DEACON PL, CRESSKILL, NJ 07626-1107
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01025100
NJ
Other
Enumeration date
10/15/2006
Last updated
07/08/2007
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