Individual
MRS. JOYCE ELIZABETH BUSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA L
Contact information
Practice address
1000 SOUTH COLUMBIA ROAD, GRAND FORKS, ND 58206-6002
(701) 780-5000
(701) 780-1942
Mailing address
2515 9TH AVE SOUTH, GRAND FORKS, ND 58201
(701) 780-2516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
956
ND
Other
Enumeration date
06/25/2007
Last updated
07/08/2007
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