SUSIE A CUSACK

ROSWELL, NM
NPI1114979200
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  3210)
Enumeration Date2006-05-17
Last Update Date2007-07-08
Business Address
-- SUSIE A CUSACK PT
110 W COUNTRY CLUB RD
ROSWELL, NM 88201-0618
Phone number: 505-623-2292
Mailing Address
-- SUSIE A CUSACK PT
110 W COUNTRY CLUB RD
ROSWELL, NM 88201-0618
Phone number: 505-623-2292
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