Individual
DAVID ISMAEL SILVA BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17020 TWIN LAKES AVE STE C101, MARYSVILLE, WA 98271-4731
(360) 658-8400
Mailing address
1203 BASELINE RD, BULLHEAD CITY, AZ 86442-7026
(928) 542-2283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
61510432
AZ
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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