Individual
EMMA AHERN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12072644-2401
UT
2255A2300X
Athletic Trainer
104.0113073
VT
Other
Enumeration date
07/15/2015
Last updated
03/28/2022
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