Crystal Gale Bush - Callos

NPI #1487185575 in Mount Dora, Florida

Provider Information

NPI Number: 1487185575
Entity Type: Individual
Name: Crystal Gale Bush - Callos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Mar 21, 2017
Last Updated: Sep 7, 2021

Practice Location

Address: 2625 PALMETTO RD
City: Mount Dora
State: Florida
ZIP Code: 32757-2422
Phone: (352) 989-2191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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