Individual
DALTON BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 784-6200
Mailing address
7111 S 173RD ST, OMAHA, NE 68136-1131
(402) 980-4087
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2350
HI
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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