Individual
SARAH BUSHBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, DTR
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
112 S ALBERTA CIR, MESA, AZ 85206-1166
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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