Individual
MRS. AMANDA MCCUSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 LAUCK DR, WINCHESTER, VA 22603-4282
(540) 667-7830
Mailing address
2362 BUCK VALLEY RD, WARFORDSBURG, PA 17267-8139
(540) 686-6570
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001074
VA
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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