Provider Demographics
NPI:1508169582
Name:CUSICK, JULIANNE STRAUSS (DPT, PT, COMT)
Entity Type:Individual
Prefix:DR
First Name:JULIANNE
Middle Name:STRAUSS
Last Name:CUSICK
Suffix:
Gender:F
Credentials:DPT, PT, COMT
Other - Prefix:DR
Other - First Name:JULIANNE
Other - Middle Name:LEIGH
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:19441 GOLF VISTA PL
Mailing Address - Street 2:SUITE 340
Mailing Address - City:LEESBURGH
Mailing Address - State:VA
Mailing Address - Zip Code:20176-8272
Mailing Address - Country:US
Mailing Address - Phone:703-723-9527
Mailing Address - Fax:703-723-4475
Practice Address - Street 1:19441 GOLF VISTA PLAZA
Practice Address - Street 2:SUITE 340
Practice Address - City:LEESBURGH
Practice Address - State:VA
Practice Address - Zip Code:20176-8272
Practice Address - Country:US
Practice Address - Phone:703-723-9527
Practice Address - Fax:703-723-4475
Is Sole Proprietor?:No
Enumeration Date:2010-12-13
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206714225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist