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STEPHANIE BUSKE
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1699447763
Individual Registrant: STEPHANIE BUSKE
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
44 MARITIME DR MYSTIC, CT 06355-1958 US
Tel: 860-572-1700 Fax: --
Tel: 860-572-1700 Fax: --
Contact information for business:
44 MARITIME DR MYSTIC, CT 06355-1958 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1699447763
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | ||
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CT |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
