Individual
ANDREA LEE BUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4901 W WAUSAU AVE, WAUSAU, WI 54401-3737
(715) 432-7781
Mailing address
4901 W WAUSAU AVE, WAUSAU, WI 54401-3737
(715) 432-7781
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2802
WI
225X00000X
Occupational Therapist
Primary
2802-026
WI
Other
Enumeration date
02/01/2008
Last updated
06/27/2025
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