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AMANDA BUCKLES PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1093796682

Individual Registrant:
 AMANDA  BUCKLES PT
Gender: F

Location and contact information for practice:
616 OAK ST  PALATKA, FL 32177-4632 US
Tel: 386-312-0022  Fax: 386-312-0535

Contact information for business:
616 OAK ST  PALATKA, FL 32177-4632 US
Tel: --  Fax: --

Registration Information:
NPI: 1093796682
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT22301

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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