MALCOLM WENDELL BUCHANNON

JACKSONVILLE, FL
NPI1326588930
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  27323)
Enumeration Date2017-03-01
Last Update Date2017-03-13
Business Address
-- MALCOLM WENDELL BUCHANNON LPTA
11565 HARTS RD
JACKSONVILLE, FL 32218-3777
Phone number: 904-751-1834
Mailing Address
-- MALCOLM WENDELL BUCHANNON LPTA
11565 HARTS RD
JACKSONVILLE, FL 32218-3777
Phone number: 352-215-9878
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