Individual
MR. ADAM JOHN BUSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 919-4700
Mailing address
330 N GORE AVE, WEBSTER GROVES, MO 63119-1600
(314) 919-4700
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014032101
MO
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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