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JACOB BUCHANAN
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1164037941
Individual Registrant: JACOB BUCHANAN
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
924 STATE HIGHWAY 77 MARION, AR 72364-9004 US
Tel: 601-650-6286 Fax: --
Tel: 601-650-6286 Fax: --
Contact information for business:
832 BAYOU VISTA DR MARION, AR 72364-5006 US
Tel: 601-650-6286 Fax: --
Tel: 601-650-6286 Fax: --
Registration Information:
NPI: 1164037941
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | AR | 4516 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
