Justin Buccille
NPI #1134421720 in Siloam Springs, Arkansas
Provider Information
- NPI Number
- 1134421720
- Entity Type
- Individual
- Name
- Justin Buccille
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Dec 2, 2010
- Last Updated
- Apr 2, 2013
Practice Location
- Address
- 918 S MOUNT OLIVE ST
- City
- Siloam Springs
- State
- Arkansas
- ZIP Code
- 72761-4220
- Phone
- (479) 967-2322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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