Individual
ROBERT KELLY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCTMB
Contact information
Practice address
465 SAVONA WAY, OAK PARK, CA 91377-4842
(805) 405-1883
Mailing address
465 SAVONA WAY, OAK PARK, CA 91377-4842
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
38642
CA
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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