Individual
ELENA BUSTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
916 N MAIN ST, ALTUS, OK 73521-3118
(580) 318-9415
Mailing address
PO BOX 35, MARTHA, OK 73556-0035
(580) 841-0188
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2038
OK
Other
Enumeration date
01/21/2026
Last updated
01/21/2026
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