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Individual

RACHEL S BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5417 SUFFOLK CIR, CASTLE ROCK, CO 80104-5497
(573) 579-8537
Mailing address
5417 SUFFOLK CIR, CASTLE ROCK, CO 80104-5497
(573) 579-8537

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160004948
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0012959
STATE LICENSE
CO
01
160004948
STATE LICENSE
IL
01
1991
STATE LICENSE
OK
01
2008021061
STATE LICENSE
MO
01
2067760
STATE LICENSE
TX
01
2143
STATE LICENSE
AK
Enumeration date
10/02/2008
Last updated
03/05/2013
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