| NPI | 1023184587 |
|---|---|
| Doing Business As | BUCKAROO BARN, L. L. C. |
| Entity Type | Organization |
| Authorized Contact | KRISTYE HALL CHASTANG Physical Therapist 251-937-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: AL PTH2770) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |