Individual
ALICIA AGNES BUSHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
515 LONG POND RD, ROCHESTER, NY 14612-3005
(585) 227-2310
Mailing address
515 LONG POND RD, ROCHESTER, NY 14612-3005
(585) 227-2310
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007593
NY
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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