Individual
COLTON ANGLIM BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
301 W BROADWAY, COUNCIL BLUFFS, IA 51503-9071
(712) 322-9688
Mailing address
7702 S 171ST ST, OMAHA, NE 68136-1150
(402) 657-9963
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4450
NE
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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