Individual
MS. LEZAH TABUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1409 BIRCH ST, MONTROSE, CO 81401-5605
(303) 248-6585
Mailing address
1409 BIRCH ST, MONTROSE, CO 81401-5605
(303) 248-6585
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
0002673
CO
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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