Individual
JACLYN BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
131 ROUTE 70 STE 110, MEDFORD, NJ 08055-9501
(856) 533-0920
(856) 375-1110
Mailing address
PO BOX 416495, BOSTON, MA 02241-6495
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02055500
NJ
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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