Individual
CHERYL BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
902 SMOKY CROSSING WAY, SEYMOUR, TN 37865-5098
(765) 414-0312
Mailing address
902 SMOKY CROSSING WAY, SEYMOUR, TN 37865-5098
(765) 414-0312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31000629A
IN
225X00000X
Occupational Therapist
Primary
6512
TN
225XH1200X
Hand Occupational Therapist
31000629A
IN
Other
Enumeration date
07/07/2014
Last updated
09/06/2024
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