Individual provider · Type 1 NPI

Johanna Lydia Buck, MS, PT

Pediatric Physical Therapist · Medford, OR

NPI number 1396898441 Active

Practice location

400 Crater Lake Ave
Medford, OR 97504-6808

Call (541) 613-6505 Map

Fax (541) 770-9212

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200X05897 (OR)

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1396898441

Johanna Lydia Buck, MS, PT's National Provider Identifier is 1396898441, issued on Jan 20, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Medford, OR. The record was last updated on Feb 27, 2019.