Individual
LORI BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18 FRAZIER LN, TIVERTON, RI 02878-2532
(401) 624-4946
Mailing address
18 FRAZIER LN, TIVERTON, RI 02878-2532
(401) 624-4946
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4654
MA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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