Brenna Buckner

NPI #1639532492 in Grayslake, Illinois

Provider Information

NPI Number: 1639532492
Entity Type: Individual
Name: Brenna Buckner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 30, 2016
Last Updated: Mar 30, 2016

Practice Location

Address: 15 COMMERCE DR
Address 2: SUITE 111
City: Grayslake
State: Illinois
ZIP Code: 60030-7807
Phone: (847) 548-3458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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