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Individual

DR. LESLIE M BUSHONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL, OTD

Contact information

Practice address
2918 UMATILLA ST, DENVER, CO 80211-3833
(859) 630-0083
Mailing address
2221 W 45TH AVE, DENVER, CO 80211-1526
(303) 653-8461

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
892106700
FL
01
OT11891
STATE LIC
FL
Enumeration date
04/18/2007
Last updated
07/21/2022
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