Individual
ANNA CAROLINE BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2118 SANDY LN, LAUREL, MS 39443-9087
(601) 342-2923
(601) 255-8623
Mailing address
2118 SANDY LN, LAUREL, MS 39443-9087
(601) 342-2923
(601) 255-8623
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-3877
MS
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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