Individual
BRIAN PATRICK BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1118 CHARLES ST, ELMIRA, NY 14904-2709
(607) 734-7107
(607) 734-7334
Mailing address
398 OLD ITHACA RD, HORSEHEADS, NY 14845-7202
(607) 739-3591
(607) 796-0568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006799-1
NY
Other
Enumeration date
03/15/2013
Last updated
03/20/2013
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