Individual
MICHELLE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
270 SIR PHILLIPS DR, DAVENPORT, FL 33837-7687
(419) 302-5570
Mailing address
270 SIR PHILLIPS DR, DAVENPORT, FL 33837-7687
(419) 302-5570
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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