Individual
MRS. DOREEN MARIE BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED OCCUPATION
Contact information
Practice address
11 WILBUR RD., THIELLS, NY 10984
(845) 947-6203
(845) 947-6205
Mailing address
11 WILBUR RD., THIELLS, NY 10984
(845) 947-6203
(845) 947-6205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005743-1
NY
Other
Enumeration date
03/25/2016
Last updated
03/25/2016
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