Individual
EMILY VANDENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1429 CLEAR LAKE RD STE 200, WEATHERFORD, TX 76086-8801
(682) 231-1720
Mailing address
1111 ELIZABETH BLVD, GRANBURY, TX 76048-2311
(262) 951-0550
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121288
TX
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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