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Individual

DR. REBECCA BUSENBARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
401 E COLFAX AVE STE 102, SOUTH BEND, IN 46617
(574) 234-1059
Mailing address
PO BOX 643407, PITTSBURGH, PA 15264-3407
(800) 721-8202

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05013335A
IN
225100000X
Physical Therapist
10636PT
AZ

Other

Enumeration date
11/11/2013
Last updated
11/12/2019
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