Individual provider · Type 1 NPI

Marissa L. Bush, D.P.T.

Pediatric Physical Therapist · Wayne, NJ

NPI number 1558675397 Active

Practice location

309 Black Oak Ridge Rd
Wayne, NJ 07470-6504

Fax (973) 956-7900

Mailing address

1 W Ridgewood Ave, Suite 104
Paramus, NJ 07652-2359

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X40QA01360300 (NJ)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1558675397

Marissa L. Bush, D.P.T.'s National Provider Identifier is 1558675397, issued on Aug 4, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Wayne, NJ. The record was last updated on Jan 29, 2014.