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NPI Code Detail

MEDICARE: OLLIE HELEN BUCKLEY OTR/L

MEDICARE: OLLIE HELEN BUCKLEY OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist004059OH
2225X00000XOccupational Therapist

General Provider Information

NPI Number : 1194063800
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLLIE HELEN BUCKLEY OTR/L
Provider Business Mailing Address
First Line : 1454 OAK KNOLL DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-1520
Country : US
Telephone Number : 513-522-8867
Fax Number :
Provider Business Practice Location Address
First Line : 11083 HAMILTON AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45231-1409
Country : US
Telephone Number : 513-885-4693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2013
Last Update Date : 01/30/2013

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Directions to “ OLLIE HELEN BUCKLEY OTR/L” Practice Location

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