Individual
ADAM BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
33560 ALVARADO NILES RD, UNION CITY, CA 94587-3111
(510) 489-8700
Mailing address
1251 CUNNINGHAM RD, SEBASTOPOL, CA 95472-5530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 11122
CA
Other
Enumeration date
01/16/2016
Last updated
01/16/2016
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