Individual
TERESA CONLEY BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
108 DIAGNOSTIC DR STE C, FRANKFORT, KY 40601-6556
(765) 744-6219
(877) 667-1254
Mailing address
3317 BIG BEND CT, LEXINGTON, KY 40517-3810
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
135591
KY
Other
Enumeration date
07/15/2017
Last updated
07/15/2017
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