Individual
MRS. SHARON MARIE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 COUNTRY CLUB RD, MOUNT VERNON, IN 47620-9301
(812) 838-6554
(812) 838-9685
Mailing address
11419 LOWER MOUNT VERNON RD, EVANSVILLE, IN 47712-9222
(812) 985-2103
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001407A
IN
Other
Enumeration date
07/05/2007
Last updated
07/08/2007
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