Individual
LINDSAY M. BUSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1198
(864) 512-3608
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3304
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3304
LICENSE #
SC
Enumeration date
08/16/2007
Last updated
08/16/2007
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