| Doctor Name: | MS. MARY ANN BUSH |
| NPI Number: | 1033119375 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 4451 |
| Business Practice Address: | 1520 Martin St Suite 206 Winston Salem, NC - 271034933 |
| Business Phone Number: | 3367241333 |
| Business Fax Number: | 3367241166 |
| Mailing Address: | 1520 Martin St, Suite 206 WINSTON SALEM |
| State: | NC |
| Postal Code: | 271034933 |
| Phone Number: | 3367241333 |
| Fax Number: | 3367241166 |
| NPI Enumeration Date: | 07/28/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/22/2006 |
| NPI Reactivation Date: | 04/11/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 4451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |