Individual
HEATHER BUCKALEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3001 KEMP BLVD APT 701, WICHITA FALLS, TX 76308-1055
(979) 739-3147
Mailing address
3001 KEMP BLVD APT 701, WICHITA FALLS, TX 76308-1055
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214912
TX
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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