Individual
CHRISTINE BUSA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5601 W EUGIE AVE, SUITE 202, GLENDALE, AZ 85304-1255
(602) 843-8436
(602) 843-8947
Mailing address
1000 BOONE AVE N, SUITE 100, GOLDEN VALLEY, MN 55427-4466
(763) 450-2000
(763) 450-3033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6523
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
987167
—
AZ
Enumeration date
01/19/2006
Last updated
07/09/2007
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