Provider Demographics
NPI:1437816980
Name:BUCHAN, ASHLYN NICOLE
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:NICOLE
Last Name:BUCHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 US HIGHWAY 1 APT 201
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-5521
Mailing Address - Country:US
Mailing Address - Phone:772-349-5451
Mailing Address - Fax:
Practice Address - Street 1:300 AVENUE OF THE CHAMPIONS STE 100
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-3615
Practice Address - Country:US
Practice Address - Phone:561-223-3872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant