| NPI | 1508852823 |
|---|---|
| Former Name | GIDGET L BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SD 0505) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 102491) |
| 225X00000X Occupational Therapist (Licence: IA 01509) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2007-07-08 |