Individual
MRS. LEIGH FARRON BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
105 LEXINGTON DR STE H, MADISON, MS 39110-6646
(601) 910-7300
Mailing address
204 MORNINGSIDE N, RIDGELAND, MS 39157-9754
(601) 506-3170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0112
MS
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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