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1558675397
MARISSA L BUSH
WAYNE, NJ
NPI
1558675397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist Pediatrics
(Licence: NJ 40QA01360300)
Enumeration Date
2010-08-04
Last Update Date
2014-01-29
Business Address
MARISSA L BUSH D.P.T.
309 BLACK OAK RIDGE RD
WAYNE, NJ 07470-6504
Phone number: 973-956-2900
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Mailing Address
MARISSA L BUSH D.P.T.
1 W RIDGEWOOD AVE SUITE 104
PARAMUS, NJ 07652-2359
Phone number: 201-652-1415
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