Individual
DR. CARON MELBA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS, CSCS
Contact information
Practice address
4501 BROADWAY FL 1, OAKLAND, CA 94611-4615
(510) 752-6295
Mailing address
4501 BROADWAY FL 1, OAKLAND, CA 94611-4615
(510) 752-6295
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT34819
CA
Other
Enumeration date
08/19/2008
Last updated
12/17/2021
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