JEFFREY BUCKNAM

TRAVERSE CITY, MI
NPI1295164846
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201005105)
Enumeration Date2013-11-04
Last Update Date2013-11-04
Business Address
-- JEFFREY BUCKNAM
7711 GINGERWOOD DR
TRAVERSE CITY, MI 49685-9024
Phone number: 231-715-6122
Mailing Address
-- JEFFREY BUCKNAM
7711 GINGERWOOD DR
TRAVERSE CITY, MI 49685-9024
Phone number:
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