PHILIP MICHAEL CUSACK

ROSEBURG, OR
NPI1457115719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: OR  986755)
Enumeration Date2024-02-07
Last Update Date2024-02-07
Business Address
PHILIP MICHAEL CUSACK OTR/L
1871 NE STEPHENS ST
ROSEBURG, OR 97470-1433
Phone number: 541-440-4794
Mailing Address
PHILIP MICHAEL CUSACK OTR/L
1440 BYRON CREEK RD
WINSTON, OR 97496-4542
Phone number: 541-673-0609
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