| Doctor Name: | ANDREA E. NASO MCCUSKEY |
| NPI Number: | 1407008865 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, MS, OCS |
| License Number: | PT14572A |
| Business Practice Address: | 120 Craven Road Suite 109 San Marcos, CA - 92078 |
| Business Phone Number: | 7607528678 |
| Business Fax Number: | 7604717928 |
| Mailing Address: | 120 Craven Road, Suite 109 SAN MARCOS |
| State: | CA |
| Postal Code: | 92078 |
| Phone Number: | 7607528678 |
| Fax Number: | 7604717928 |
| NPI Enumeration Date: | 10/16/2008 |
| NPI Last Update Date: | 10/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT14572A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |