Individual
MELISSA COLLEEN BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
100 DOGWOOD DR, PHILIPSBURG, PA 16866-1982
(814) 342-8434
(814) 342-2164
Mailing address
100 DOGWOOD DR, PO BOX 551, PHILIPSBURG, PA 16866-1982
(814) 342-8434
(814) 342-2164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007098
PA
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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