Autumn Busselle, COTA

NPI 1598373227 · on the registry since 2020

Practice

Address: 524 Village Rd
Port Lavaca, TX 77979
Phone: (361) 552-3741
Organisation at this address: Citizens Medical Center County Of Victoria
Regency Nursing Center Partners Of Port Lavaca, Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2020-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas