Individual
CAROL BUCKLEY HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7876 AMERICAN RD, MACHESNEY PARK, IL 61115-8337
(815) 847-9717
Mailing address
7876 AMERICAN RD, MACHESNEY PARK, IL 61115-8337
(815) 847-9717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008675-1
NY
225100000X
Physical Therapist
Primary
070-004891
IL
225100000X
Physical Therapist
PT-005183L
PA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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