Individual
KACEY BUSQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
586 MIDDLE TPKE E, MANCHESTER, CT 06040-3730
(860) 645-3810
Mailing address
435 HARTFORD TPKE, SUITE U, VERNON, CT 06066-4852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
009528
CT
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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