JOHANNA LYDIA BUCK

MEDFORD, OR
NPI1396898441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2251P0200X Physical Therapist, Pediatrics
(Licence: OR  05897)
Enumeration Date2007-01-20
Last Update Date2019-02-27
Business Address
Mrs. JOHANNA LYDIA BUCK MS, PT
400 CRATER LAKE AVE
MEDFORD, OR 97504-6808
Phone number: 541-613-6505
Mailing Address
Mrs. JOHANNA LYDIA BUCK MS, PT
400 CRATER LAKE AVE
MEDFORD, OR 97504-6808
Phone number: 541-613-6505
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