NPI 1619448537

Adam John Busby, COTAL

Practitioner Occupational Therapy Assistant Webster Groves, MO

Practice location

Address: 330 N Gore Ave, Webster Groves, MO 63119-1600
Phone: (314) 919-4700

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2014032101 (MO)

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Registry record

NPI: 1619448537
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2018
Record last updated: 17 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.