Individual
MISS AUDRA ANN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
813 FAY RD, SYRACUSE, NY 13219-3009
(315) 488-2951
(315) 468-6194
Mailing address
372 STAFFORD AVENUE, SYRACUSE, NY 13206
(315) 488-2951
(315) 468-3194
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
003893-1
NY
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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