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Individual

JARED BUCKINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4160 LITTLE YORK RD STE 10, DAYTON, OH 45414-5803
(937) 415-9100
Mailing address
1979 N 4TH ST, COLUMBUS, OH 43201-1728

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
10/15/2020
Last updated
02/26/2024
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