Individual
ANTONIO BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 S MULBERRY AVE, BUTLER, AL 36904-2804
(601) 934-5717
Mailing address
502 S MULBERRY AVE, BUTLER, AL 36904-2804
(601) 934-5717
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/30/2024
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