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Individual

MRS. DOLORES MARIA BUSH I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
750 SHIPYARD DR STE 100, WILMINGTON, DE 19801-5161
(302) 658-3000
(302) 658-3600
Mailing address
23 PERTH DR, WILMINGTON, DE 19803-2612
(302) 545-2813
(302) 658-3600

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001051
DE

Other

Enumeration date
11/02/2017
Last updated
11/02/2017
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