Individual
MRS. GINA MARIE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-7209
(414) 384-2000
(414) 325-4851
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10383-24
WI
Other
Enumeration date
01/20/2009
Last updated
12/13/2023
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