Individual
JAMIE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32926 BROOKSIDE CIR, LIVONIA, MI 48152-1419
(248) 444-6287
Mailing address
32926 BROOKSIDE CIR, LIVONIA, MI 48152-1419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201008361
MI
225X00000X
Occupational Therapist
OT1335
HI
225X00000X
Occupational Therapist
Primary
OT60441849
WA
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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