Individual
MRS. CANDY BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 S STATE ROAD 57, WASHINGTON, IN 47501-4373
(812) 254-4516
(812) 254-4765
Mailing address
11 WHITE RIDGE CT, WASHINGTON, IN 47501-8909
(812) 254-5922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002910A
IN
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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