Individual
MRS. KENDALL RAE BUSH COUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3901 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6255
(910) 679-8385
Mailing address
3901 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6255
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15996
NC
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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