Most Relevant Information
Provider Data
NPI Number: | 1003195140 |
Provider Name: | KELSEY BUSHOVER |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | PT3825 |
Most Important Dates
Enumeration Date: | 08/08/2011 |
Last Updated: | 08/08/2011 |
Provider Practice Location
992 CROSS HILL RD
VASSALBORO
ME
049893743
Practice Location Phone/Fax
Phone: | 2072158966 |
Fax: |
Provider Mailing Location
992 CROSS HILL RD
VASSALBORO
ME
049893743
Provider Mailing Phone/Fax
Phone: | 2072158966 |
Fax: |