Individual
CHERYL JAYNE BUSHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5969 NELDA ST, UNIT 1, SIMI VALLEY, CA 93063-4059
(805) 581-5440
Mailing address
5969 NELDA ST, UNIT 1, SIMI VALLEY, CA 93063-4059
(805) 581-5440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA908
CA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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