Individual
VICKY BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2400 VETERANS MEMORIAL DR, CAPE GIRARDEAU, MO 63701-9620
(573) 290-5870
Mailing address
2400 VETERANS MEMORIAL DR, CAPE GIRARDEAU, MO 63701-9620
(573) 290-5870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
105542
MO
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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