Individual
MARY JANE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
E. MAIN STREET, SHELBY, OH 44875
(419) 347-1503
Mailing address
745 CHERRY ST, GALION, OH 44833-2407
(419) 777-2507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0004235
OH
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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