Individual
BRANDON BUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3952 E PACKARD AVE, KINGMAN, AZ 86409-0856
(805) 368-7548
Mailing address
3952 E PACKARD AVE, KINGMAN, AZ 86409-0856
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047041
AZ
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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