Dominique Bush

NPI #1891666434 in Brookhaven, Georgia

Provider Information

NPI Number: 1891666434
Entity Type: Individual
Name: Dominique Bush
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 16, 2025
Last Updated: Sep 16, 2025

Practice Location

Address: 705 TOWN BLVD NE APT 550
City: Brookhaven
State: Georgia
ZIP Code: 30319-3088
Phone: (404) 869-1912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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