Individual
STEVE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 MONTEVUE LN, FREDERICK, MD 21702-8214
(301) 600-3367
Mailing address
8105 ASHFORD CT, FREDERICK, MD 21702-2900
(301) 693-7737
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
04314
MD
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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