Kacey Busque
Physical Therapist in Manchester, CT. Individual provider (NPI-1).
NPI number1962800540
StatusActive
Last updated in NPPESDec 12, 2014
Details
- NPI
- 1962800540
- Entity type
- Individual (NPI-1)
- Name
- Kacey Busque
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 12, 2014
- Last updated
- Dec 12, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 009528 | CT | Yes |
Practice location
586 Middle Tpke EManchester, CT 06040-3730
Phone 860-645-3810
Mailing address
435 Hartford TpkeSuite U
Vernon, CT 06066-4852
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