Individual
MS. JOANNE BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1500 ROUTE 488, CLIFTON SPRINGS, NY 14432-9308
(315) 548-6971
Mailing address
11 BEACON ST, GENEVA, NY 14456-2701
(315) 781-5833
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003685-1
NY
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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