Individual
SHAWNA BUCKWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1800 MARIETTA AVE, LANCASTER, PA 17603-2322
(717) 369-8662
Mailing address
5583 ELIZABETHTOWN RD, PALMYRA, PA 17078-8389
(717) 808-0639
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP010157
PA
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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