Individual
COURTNEY NICOLE BUSCEMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3017 W HARBOR VIEW AVE, TAMPA, FL 33611-1644
(813) 597-6184
(813) 658-6258
Mailing address
3017 W HARBOR VIEW AVE, TAMPA, FL 33611-1644
(813) 597-6184
(813) 658-6258
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT11150
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015478000
—
FL
Enumeration date
08/05/2006
Last updated
03/28/2023
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