Individual
KATHERINE A BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1410 LONG RUN RD, LOUISVILLE, KY 40245-4334
(502) 244-8011
(502) 244-6631
Mailing address
1410 LONG RUN RD, LOUISVILLE, KY 40245-4334
(502) 244-8011
(502) 244-6631
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
R3731
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000547300
ANTHEM
KY
05
—
7100090380
—
KY
Enumeration date
09/18/2007
Last updated
12/15/2011
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