Individual
ALEXANDRA JOANNE CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
1922 HACIENDA DR, VISTA, CA 92081
(760) 295-4175
(760) 295-4176
Mailing address
1045 N VULCAN AVE APT D, ENCINITAS, CA 92024-1793
(804) 938-0331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292178
CA
Other
Enumeration date
08/30/2016
Last updated
08/15/2018
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