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NPI Code Detail

MEDICARE: HANNA BUSH OTD, OTR/L

MEDICARE: HANNA BUSH OTD, OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT012979OH

General Provider Information

NPI Number : 1831926021
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNA BUSH OTD, OTR/L
Provider Business Mailing Address
First Line : 1440 BLOSSOM PARK AVE
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1950 E 89TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-2008
Country : US
Telephone Number : 216-444-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 09/19/2024

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Directions to “ HANNA BUSH OTD, OTR/L” Practice Location

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