MR. Mark R. Busboom, PT ASSISTANT

NPI #1518090653 in Mcpherson, Kansas

Provider Information

NPI Number
1518090653
Entity Type
Individual
Name
MR. Mark R. Busboom, PT ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PT ASSISTANT
Enumeration Date
Mar 14, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1000 HOSPITAL DR
State
Kansas
ZIP Code
67460-2326
Phone
(620) 241-2250

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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