Individual
LAUREL ELIZABETH BUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10685 101ST AVE NW, COLUMBUS, ND 58727-9420
(701) 339-2782
Mailing address
10685 101ST AVE NW, COLUMBUS, ND 58727-9420
(701) 339-2782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
097564
IA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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