Individual provider · Type 1 NPI

Mikayla Breanne Bush, OTRL

Occupational Therapist · Fayetteville, NC

NPI number 1831695493 Active

Practice location

1555 Cain Rd
Fayetteville, NC 28303-3078

Call (910) 822-3490 Map

Fax (910) 378-1755

Mailing address

314 Mayodan Dr Apt 205
Fayetteville, NC 28314-0489

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X11650 (NC)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1831695493

Mikayla Breanne Bush, OTRL's National Provider Identifier is 1831695493, issued on Apr 3, 2018. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 3, 2018.