Individual
ANDREA BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3519 WINSTON BLVD, WILMINGTON, NC 28403-2640
(910) 612-0944
Mailing address
3519 WINSTON BLVD, WILMINGTON, NC 28403-2640
(910) 612-0944
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3829
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126 AK
BCBS
NC
Enumeration date
08/18/2008
Last updated
08/23/2010
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