Individual
STEPHANIE BUSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44 MARITIME DR, MYSTIC, CT 06355-1958
(860) 572-1700
Mailing address
44 MARITIME DR, MYSTIC, CT 06355-1958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CT
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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