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Individual

MS. ADRIANA D BUSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
315 E CLINTON ST, HOBBS, NM 88240-8238
(505) 393-0755
(505) 393-0249
Mailing address
2279 A CR 314, SEMINOLE, TX 79360-9355
(575) 631-4701
(505) 393-0249

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2084
NM
225X00000X
Occupational Therapist
Primary
OT2084
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41700074
NM
Enumeration date
08/12/2006
Last updated
08/14/2023
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