Individual
KATHRYN ANNE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8290
Mailing address
7913 9TH STREET CT N, OAKDALE, MN 55128-5352
(651) 730-0270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A153
MN
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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