DR. Jeremy Fox Bustanoby, DPT

NPI #1962831214 in Henderson, Nevada

Provider Information

NPI Number: 1962831214
Entity Type: Individual
Name: DR. Jeremy Fox Bustanoby, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 7, 2013
Last Updated: Nov 7, 2013

Practice Location

Address: 200 E HORIZON DR
City: Henderson
State: Nevada
ZIP Code: 89015-8033
Phone: (702) 568-8450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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