Individual
HOLLY BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
104 QUEENS GATE, MAYLENE, AL 35114-5432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1850
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1850
AL BOARD OF OT
AL
Enumeration date
08/16/2007
Last updated
08/16/2007
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