Individual
MR. JAMES KENNETH BUSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A
Contact information
Practice address
17764 SUNDIAL CT, WESTFIELD, IN 46062-7640
(317) 979-4006
Mailing address
17764 SUNDIAL CT, WESTFIELD, IN 46062-7640
(317) 979-4006
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004039A
IN
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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