Individual
BUSISIWE B STANSBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5025 E WASHINGTON ST STE 212, PHOENIX, AZ 85034-7439
(602) 773-5775
Mailing address
5025 E WASHINGTON ST STE 212, PHOENIX, AZ 85034-7439
(602) 773-5775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
08/12/2022
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