Provider Demographics
NPI:1831307685
Name:BUCHAN, EDITH O (PT)
Entity Type:Individual
Prefix:
First Name:EDITH
Middle Name:O
Last Name:BUCHAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 CASTLEMAN RD
Mailing Address - Street 2:
Mailing Address - City:BERRYVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22611-2742
Mailing Address - Country:US
Mailing Address - Phone:540-955-4080
Mailing Address - Fax:540-955-4080
Practice Address - Street 1:1919 CASTLEMAN RD
Practice Address - Street 2:
Practice Address - City:BERRYVILLE
Practice Address - State:VA
Practice Address - Zip Code:22611-2742
Practice Address - Country:US
Practice Address - Phone:540-955-4080
Practice Address - Fax:540-955-4080
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305001421225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist