Individual
MR. CHRISTOPHER A BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2655 COMMONS BLVD, BEAVERCREEK, OH 45431
(937) 320-9131
(937) 320-9132
Mailing address
445 EASTVIEW DR, CLAYTON, OH 45315-9768
(937) 832-8377
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-10273
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000307161
ANTHEM
OK
05
—
0108341
—
OH
01
—
38261719350
WORKERS COMP
OH
Enumeration date
10/26/2006
Last updated
06/05/2018
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