| NPI | 1053427948 |
|---|---|
| Former Name | ANITA ANN BUCKLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT-020453) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01101900) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2011-05-27 |