Individual
KAYLA JILL CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
477 HIGH ST, SOUTH PARIS, ME 04281-6507
(207) 743-6300
Mailing address
3 BISCO RD, SOUTH PARIS, ME 04281-6524
(207) 890-0678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT5148
ME
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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