Jacob Buchanan

NPI #1164037941 in Marion, Arkansas

Provider Information

NPI Number: 1164037941
Entity Type: Individual
Name: Jacob Buchanan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 9, 2020
Last Updated: Sep 9, 2020

Practice Location

Address: 924 STATE HIGHWAY 77
City: Marion
State: Arkansas
ZIP Code: 72364-9004
Phone: (601) 650-6286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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