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STEPHANIE BUSKE

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1699447763

Individual Registrant:
 STEPHANIE  BUSKE 
Gender: F
Sole Proprietor

Location and contact information for practice:
44 MARITIME DR  MYSTIC, CT 06355-1958 US
Tel: 860-572-1700  Fax: --

Contact information for business:
44 MARITIME DR  MYSTIC, CT 06355-1958 US
Tel: --  Fax: --

Registration Information:
NPI: 1699447763
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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