Individual
SHELLIE BUSETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 W 2ND ST, FLORENCE, CO 81226-9440
(719) 784-3540
Mailing address
1124 W 2ND ST, FLORENCE, CO 81226-9440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-2326
CO
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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