Individual
ERIN BROOKE BUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2619 FORUM BLVD, FORT MYERS, FL 33905-5605
(239) 673-3414
Mailing address
27299 RIVERVIEW CENTER BLVD STE 201, BONITA SPRINGS, FL 34134-4322
(239) 676-2080
(239) 676-2089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25120
FL
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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