Individual
MRS. MARY J BUCKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
500 LYNNFIELD ST, LYNN, MA 01904-1424
(781) 477-3033
Mailing address
19 EVERETT ST, LYNN, MA 01904-2811
(781) 581-1716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
288
MA
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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