Cusick, Angela J
Cusick, Angela J is an individual health care provider with primary practice located at 3101 Fields South Dr , Champaign IL 61822-3743. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Cusick, Angela J can be contacted via phone (217) 366-1323.Contact Information
Primary practice address
3101 Fields South Dr
Champaign IL 61822-3743
Phone: (217) 366-1323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 1102679 | Kansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070024735 | Illinois |
Profile Details
| NPI number | 1003889239 |
|---|---|
| LBN Legal business name | Cusick, Angela J |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | May 8th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003889239 | NPPES |
| Illinois | Other | 070024735 | PROFESSIONAL LICENSE |
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