Dr. Andrea N Buck, DPT
Physical Therapist in Jacksonville Beach, FL. Individual provider (NPI-1).
NPI number1053939694
StatusActive
Last updated in NPPESJul 9, 2020
Details
- NPI
- 1053939694
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrea N Buck
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 9, 2020
- Certification date
- Jul 9, 2020
- Last updated
- Jul 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT35469 | FL | Yes |
Other names
- Andrea N Kimmet (Former Name)
Practice location
350 13th Ave SJacksonville Beach, FL 32250-5024
Phone 904-853-5106
Mailing address
596 Ashcroft Landing DrJacksonville, FL 32225-4179
Phone 757-561-9472
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