Individual
MS. DIANA ANGELA BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4254 PIRATES BCH, GALVESTON, TX 77554-8055
(817) 932-4505
Mailing address
4254 PIRATES BCH, GALVESTON, TX 77554-8055
(817) 932-4505
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2054319
TX
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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