Individual
AMANDA BUCKLES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
616 OAK ST, PALATKA, FL 32177-4632
(386) 312-0022
(386) 312-0535
Mailing address
616 OAK ST, PALATKA, FL 32177-4632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22301
FL
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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