Individual
JEAN ELLIS BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
918 DEKLEVA DR, APOPKA, FL 32712-1725
(407) 880-9568
Mailing address
918 DEKLEVA DR, APOPKA, FL 32712-1725
(407) 880-9568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19176
FL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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