IndividualActive
Lance Bucher, OT, CHT
NPI 1124627906 · Physical Rehabilitation Occupational Therapist · Peoria, IL
Provider details
- NPI number
- 1124627906
- Entity type
- Individual
- Primary specialty
- Physical Rehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT, CHT
- Sex
- Male
- Sole proprietor
- No
- License
- 056.013426 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
8600 Il-91
Peoria, IL 61615
Phone: (309) 308-2450
Approximate (ZIP-level) locationGet directions
Mailing address
10707 N Grand Oak Ct
Peoria, IL 61615-1151
Registry dates
- Enumerated
- 2020-10-22
- Last updated
- 2020-10-22
- Certified
- 2020-10-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.