MARC CUSICK

LOUDON, TN
NPI1518246164
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  0000001143)
Enumeration Date2011-08-15
Last Update Date2011-08-15
Business Address
-- MARC CUSICK
1094 MULBERRY ST
LOUDON, TN 37774-1364
Phone number: 865-458-8900
Mailing Address
-- MARC CUSICK
1094 MULBERRY ST
LOUDON, TN 37774-1364
Phone number: 865-458-8900