Individual
MRS. NANCY HAMMER BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1739 KIRBY RD, MC LEAN, VA 22101-4817
(804) 506-4626
Mailing address
30065 BACK CREEK RD, P O BOX 61, PUNGOTEAGUE, VA 23422
(757) 442-1120
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000156
VA
224Z00000X
Occupational Therapy Assistant
6032
NC
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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