Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT015794 | PA |
NPI | 1194961466 |
---|---|
Provider Name | Beth Anne Buscema |
First Address | Aurora, CO 80012-5689 |
Second Address | Aurora, CO 80012-5689 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2008 |
Last Update Date | 04/11/2021 |