MS. Andrea Kushman, LAT

NPI #1487866927 in West Roxbury, Massachusetts

Provider Information

NPI Number: 1487866927
Entity Type: Individual
Name: MS. Andrea Kushman, LAT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Orthotic Fitter
Credential: LAT
Enumeration Date: May 4, 2007
Last Updated: Dec 3, 2008

Practice Location

Address: 1400 VFW PKWY
Address 2: WEST ROXBURY VA MEDICAL CENTER
City: West Roxbury
State: Massachusetts
ZIP Code: 02132-4927
Phone: (617) 835-0004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthotic Fitter	225000000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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