Individual
PATRICIA HARRIET BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
430 MANOR DR, SURING, WI 54174-9182
(920) 842-2191
Mailing address
1444 S PARK ST, SHAWANO, WI 54166-3720
(715) 853-2413
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
976-027
WI
Other
Enumeration date
05/17/2007
Last updated
06/07/2023
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