Jamie D Buss, DT

NPI #1700156312 in Jacksonville, Illinois

Provider Information

NPI Number: 1700156312
Entity Type: Individual
Name: Jamie D Buss, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: DT
Enumeration Date: Jan 12, 2012
Last Updated: Jan 12, 2012

Practice Location

Address: 209 E GREENWOOD AVE
City: Jacksonville
State: Illinois
ZIP Code: 62650-3423
Phone: (217) 617-5599

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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