Individual
MR. BRIAN EDWARD BUCKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
KT
Contact information
Practice address
2495 SHREVEPORT HGY, PINEVILLE, LA 71360
(318) 473-0010
Mailing address
103 ARLINGTON DR, PINEVILLE, LA 71360-2784
(318) 640-3545
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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