Individual
GITA BHUSHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1515 S OREGON ST, # B15, YREKA, CA 96097-3475
(530) 842-3082
Mailing address
5906 PALMER DR, WEED, CA 96094-9319
(530) 938-0525
(530) 938-0525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6379
CA
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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