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Individual

BRETT BUCKNER

Active
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Individual

BRETT BUCKNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MOT, MAED, OTR, ATC

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NULL
225X00000X
Occupational Therapist
Primary
—
NULL

Other

Enumeration date
12/01/2017
Last updated
09/18/2022
About Stedi
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