Individual
KATHLEEN BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3211 MEMORIAL BLVD, MURFREESBORO, TN 37129-5255
(615) 217-9909
Mailing address
3211 MEMORIAL BLVD, MURFREESBORO, TN 37129-5255
(615) 217-9909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4459
TN
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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