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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

YAISHA DAMEKA BUSH, COTA

Active Sole Proprietor

YAISHA DAMEKA BUSH, COTA is a Occupational Therapy Assistant healthcare provider located in HEALDSBURG, California. NPI 1063183135 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · HEALDSBURG, CA

Registration Details

NPI Number
1063183135
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2021 (4.8658034943785 yrs)
Last Updated
Sep 28, 2021
License
5025 (CA)
Sole Proprietor
Yes

Practice Information

Address
725 GROVE ST
HEALDSBURG, CA, 954484756
Browse CA providers · Browse ZIP 95448
Phone
7074334877
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.