Individual
JESSICA RHEA BUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18047 W CATAWBA AVE STE 203, CORNELIUS, NC 28031-5688
(704) 896-8688
(704) 896-7975
Mailing address
18047 W CATAWBA AVE STE 203, CORNELIUS, NC 28031-5688
(704) 896-8688
(704) 896-7975
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
P12009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184895591
—
NC
Enumeration date
03/13/2008
Last updated
04/22/2025
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