JOHN KUSIK PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1750532685- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 1400 W 21ST ST, CLOVIS, NM, 881014153
- Phone
- (000) 000-0000
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NM #PTA1018
Physical Therapy Assistant
License: WI #1393-019
All Addresses
MAILING
10101 W WISCONSIN AVE
WAUWATOSA, WI, 532264861