-- DOMINIQUE BUSH --
Individual Provider (NPI-1)
Active
Physical Therapist
Provider Information
- NPI Number
1891666434- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 705 TOWN BLVD NE APT 550, BROOKHAVEN, GA, 303193088
- Phone
- (404) 869-1912
Specialties & Taxonomies
Physical Therapist
Primary License: GA #PT018018