Individual
MR. ALWYN L BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA/L
Contact information
Practice address
2166 MORNINGSTAR DR, ROAMING SHORES, OH 44084-9692
(440) 563-9016
Mailing address
2166 MORNINGSTAR DR, ROAMING SHORES, OH 44084-9692
(440) 563-9016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1039
OH
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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