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Individual

MR. MICHAEL A BUSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1200 112TH AVE NE STE C210, BELLEVUE, WA 98004-3740
(425) 999-3580
(425) 999-3122
Mailing address
7683 SE 27TH ST STE 254, MERCER ISLAND, WA 98040-2804
(425) 999-3580
(425) 999-3122

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 60632584
WA
225XH1200X
Hand Occupational Therapist
OT60632584
WA

Other

Enumeration date
03/18/2016
Last updated
01/26/2021
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