DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIM MICHELLE BUCKO, OTR

Active Sole Proprietor

KIM MICHELLE BUCKO, OTR is a Occupational Therapist healthcare provider located in MYSTIC, Connecticut. NPI 1922358266 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MYSTIC, CT

Registration Details

NPI Number
1922358266
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2012 (13.879163024834 yrs)
Last Updated
Oct 21, 2022
Licenses
001892 (CT)
001892 (CT)
Sole Proprietor
Yes

Practice Information

Address
2440 GOLD STAR HWY
SUITE 201
MYSTIC, CT, 063551180
Browse CT providers · Browse ZIP 06355
Phone
8605361001
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in MYSTIC, CT

Name Credential NPI
JENNIFER ANDERSON OTRL 1760508477
MRS. LAURA ANN WHITE OTRL 1013195064
MRS. MELISSA ELIZABETH AVERY MSOT, OTR/L 1447556725
TINA M ASPROMONTE-WEISS OTR/L 1811245939
MRS. JENNIFER ROCK O.T. 1619386539
GRACE DENIO OTR 1336895572
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.