Individual
MS. JENNIFER BUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10 S 9TH ST, SUITE 4, NOBLESVILLE, IN 46060-2630
(317) 204-3736
Mailing address
408 NORTHGATE RD, FAIRDALE, KY 40118-8722
(502) 802-1729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
BOTOTA00210714
KY
Other
Enumeration date
01/05/2015
Last updated
01/05/2015
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