National Provider Identifier
Alicia Agnes Bushen, PTA
Alicia Agnes Bushen, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Rochester, NY and a listed phone number of (585) 227-2310.
Profile Overview
- NPI
- 1841874245
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- May 11, 2021
- Last Updated
- May 11, 2021
Practice Location
- 515 Long Pond RD
- Rochester, NY 14612-3005
Phone: (585) 227-2310
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1841874245
- Entity Type
- Individual
- Last Name
- Bushen
- First Name
- Alicia
- Middle Name
- Agnes
- Credential
- PTA
- Mailing Street Address
- 515 Long Pond RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14612-3005
- Mailing Country
- US
- Mailing Phone
- (585) 227-2310
- Practice Street Address
- 515 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14612-3005
- Practice Country
- US
- Practice Phone
- (585) 227-2310
- Enumeration Date
- May 11, 2021
- Last Updated
- May 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)