Individual
JACOB R BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
951 WATERBURY FALLS DR, O FALLON, MO 63368-2202
(636) 336-0300
(636) 336-0297
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2022027510
MO
225100000X
Physical Therapist
—
MO
Other
Enumeration date
03/22/2022
Last updated
10/12/2022
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