Individual
MR. LANCE JAY BUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT, CHT
Contact information
Practice address
8600 IL-91, PEORIA, IL 61615
(309) 308-2450
Mailing address
10707 N GRAND OAK CT, PEORIA, IL 61615-1151
(501) 804-1322
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
056.013426
IL
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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