Individual
KELSEY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
238 GREEN VALLEY RD, LEBANON, VA 24266-6161
(276) 591-9922
Mailing address
238 GREEN VALLEY RD, LEBANON, VA 24266-6161
(276) 591-9922
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007312
VA
Other
Enumeration date
04/10/2017
Last updated
07/13/2020
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