Individual
ERIC DANIEL BUSHHOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2620 SE MARICAMP RD, OCALA, FL 34471-5582
(352) 229-9882
Mailing address
2620 SE MARICAMP RD, OCALA, FL 34471-5582
(352) 229-9882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22583
FL
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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