Individual
MS. MARINA V BUSOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(704) 554-4818
Mailing address
1136 BRIARMORE DR, INDIAN TRAIL, NC 28079-5111
(704) 763-0688
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4452
NC
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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