Individual
AMBER BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
334 12TH AVE SE, NORMAN, OK 73071-5070
(405) 310-6590
Mailing address
334 12TH AVE SE, NORMAN, OK 73071-5070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3698
OK
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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