Iris Deepti Bhushan, PTA

NPI #1063797157 in Malakoff, Texas

Provider Information

NPI Number
1063797157
Entity Type
Individual
Name
Iris Deepti Bhushan, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Oct 20, 2011
Last Updated
Oct 20, 2011

Practice Location

Address
15 HUCKLEBERRY LN
State
Texas
ZIP Code
75148-4734
Phone
(903) 780-9306

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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