Individual
TIFFANY BUSENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1001 SYCAMORE LN, DANVILLE, IN 46122-1474
(317) 513-8783
Mailing address
1001 SYCAMORE LN, DANVILLE, IN 46122-1474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
131946
KY
225X00000X
Occupational Therapist
Primary
31006111A
IN
Other
Enumeration date
06/15/2016
Last updated
08/22/2017
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