Individual
BROOKE BUSHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 E WARDELL DR, PEMBROKE, NC 28372-7997
(910) 521-1273
Mailing address
4994 WOOD RD, CAMPBELL, NY 14821-9709
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16458
NC
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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