Individual
JAMIE LEE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, LOTR
Contact information
Practice address
2730 US 1 S, SUITE N, SAINT AUGUSTINE, FL 32086-6341
(904) 540-9595
Mailing address
2730 US 1 S, SUITE N, SAINT AUGUSTINE, FL 32086-6341
(904) 540-9595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13349
FL
225XP0200X
Pediatric Occupational Therapist
OT13349
FL
225XP0200X
Pediatric Occupational Therapist
OTT.200363
LA
Other
Enumeration date
10/06/2008
Last updated
07/19/2024
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