Individual
MR. SAMUEL J BUSCAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
106 CHATWORTH LN, MOORESVILLE, NC 28117-8135
(704) 799-9869
(704) 799-6385
Mailing address
106 CHATWORTH LN, MOORESVILLE, NC 28117-8135
(704) 799-9869
(704) 799-6385
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3155
NC
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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