Individual
MRS. WENDY MICHELLE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
220 NEWRY ST, HOLLIDAYSBURG, PA 16648-1626
(814) 693-4016
Mailing address
228 MOUNTAIN VIEW DR, TYRONE, PA 16686-7211
(814) 932-3265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP001709L
PA
Other
Enumeration date
02/28/2010
Last updated
02/28/2010
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