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SHEYNA BUCK

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1003116476

Individual Registrant:
 SHEYNA  BUCK 
Gender: F
Sole Proprietor

Location and contact information for practice:
111 NATURE WALK PKWY SUITE 101 SAINT AUGUSTINE, FL 32092-5073 US
Tel: 904-230-7761  Fax: 904-230-7763

Contact information for business:
111 NATURE WALK PKWY SUITE 101 SAINT AUGUSTINE, FL 32092-5073 US
Tel: 904-230-7761  Fax: 904-230-7763

Registration Information:
NPI: 1003116476
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA 22360

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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