Individual
MRS. NYSA-DANA BARBUSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 ANDERSON AVE, BOWLING GREEN, VA 22427-9401
(804) 633-4839
Mailing address
51 SERENE HILLS DR, FREDERICKSBURG, VA 22406-4088
(203) 715-7359
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002505
VA
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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