Individual
EMILY RAE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2535 22ND ST, BAY CITY, MI 48708-7612
(989) 718-3171
Mailing address
2535 22ND ST, BAY CITY, MI 48708-7612
(989) 718-3171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699820258
—
MI
Enumeration date
03/03/2020
Last updated
03/03/2020
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