| NPI | 1396962080 |
|---|---|
| Former Name | REBECCA LYNNE BUSHWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 146M00000X Emergency Medical Technician, Intermediate (Licence: VT 95584) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VT 040-0003298) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2025-09-11 |