Doctor Name: | MR. DAVID ROBERT TUSHAR |
NPI Number: | 1396902805 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2314 |
Business Practice Address: | 1101 Weaver Dairy Rd Suite 200 Chapel Hill, NC - 275141538 |
Business Phone Number: | 9199664915 |
Business Fax Number: | |
Mailing Address: | 102 Greenbriar Ct, CHAPEL HILL |
State: | NC |
Postal Code: | 275168622 |
Phone Number: | 9199424518 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2008 |
NPI Last Update Date: | 05/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2314 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |