Individual
LAUREN BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44225 W 12 MILE RD STE C-106, NOVI, MI 48377-2640
(248) 277-3005
Mailing address
12068 HELEN ST, SOUTHGATE, MI 48195-1886
(313) 670-6982
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201013749
MI
Other
Enumeration date
04/12/2024
Last updated
03/20/2025
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