Individual
JENNIFER LEAH BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
8109 RITCHIE HWY STE 600, PASADENA, MD 21122-6917
(443) 481-1140
Mailing address
201 DEFENSE HWY, STE 100, ANNAPOLIS, MD 21401-8902
(667) 204-7000
(443) 481-4151
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0116611
OH
225100000X
Physical Therapist
Primary
21384
MD
225100000X
Physical Therapist
40QA01100300
NJ
Other
Enumeration date
06/29/2007
Last updated
12/19/2018
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