Individual
MRS. DIANE MARIE BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5111 PALMER RANCH PKWY, SARASOTA, FL 34238-4477
(941) 378-1169
Mailing address
5111 PALMER RANCH PKWY, SARASOTA, FL 34238-4477
(941) 378-1169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0005742
FL
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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