Bucko, Kim Michelle

Bucko, Kim Michelle is an sole proprietor health care provider with primary practice located at 2440 Gold Star Hwy Suite 201, Mystic CT 06355-1180. She recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Bucko, Kim Michelle can be contacted via phone (860) 536-1001.

Contact Information

Primary practice address
2440 Gold Star Hwy Suite 201 Mystic CT 06355-1180
Phone: (860) 536-1001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 001892 Connecticut
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 001892 Connecticut

Profile Details

NPI number 1922358266
LBN Legal business name Bucko, Kim Michelle
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2012
Last updated Oct 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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