Individual
CAMERON CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 E REYNOLDS DR, RUSTON, LA 71270-2817
(318) 224-9148
Mailing address
830 W HOLLY RD, JUNCTION CITY, AR 71749-8657
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11271
LA
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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