NPI 1518246164
Marc Cusick
Practice location
- Address
- 1094 Mulberry St, Loudon, TN 37774-1364
- Phone
- (865) 458-8900
- Fax
- (865) 458-8626
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1518246164
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Aug 2011
- Record last updated
- 15 Aug 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.