Individual
MS. ELIZABETH JANE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
122 ALICIA DR, NORTH BABYLON, NY 11703-4039
(631) 321-4316
Mailing address
122 ALICIA DR, NORTH BABYLON, NY 11703-4039
(631) 321-4316
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004158-1
NY
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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