Individual
MRS. TEALA MARIE BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17100 E SHEA BLVD, SUITE 225, FOUNTAIN HILLS, AZ 85268-6625
(480) 837-4565
(888) 957-8277
Mailing address
7100 W GRANDVIEW RD APT 2017, PEORIA, AZ 85382-4916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6532
AZ
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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