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Julie R Bussewitz, O.T.

Specialist in Gallup, NM. Individual provider (NPI-1).

NPI number1679604342
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1679604342
Entity type
Individual (NPI-1)
Name
Julie R Bussewitz
Credential
O.T.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 7, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist599NMYes

Practice location

700 S Boardman Ave
Gallup, NM 87301-4707

Phone 505-721-1172

Mailing address

1612 Monterey Dr
Gallup, NM 87301-5640

Phone 505-721-1172

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