Provider Demographics
NPI:1982906988
Name:BUCKA, DANIKA KRISTINE (PT, DPT)
Entity type:Individual
Prefix:
First Name:DANIKA
Middle Name:KRISTINE
Last Name:BUCKA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:DANKIKA
Other - Middle Name:KRISTINE
Other - Last Name:DYKSTRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23560 CRENSHAW BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5233
Mailing Address - Country:US
Mailing Address - Phone:310-784-2366
Mailing Address - Fax:310-517-0889
Practice Address - Street 1:23560 CRENSHAW BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5233
Practice Address - Country:US
Practice Address - Phone:310-784-2366
Practice Address - Fax:310-517-0889
Is Sole Proprietor?:No
Enumeration Date:2010-11-23
Last Update Date:2012-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 37345208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT 37345OtherPT LICENSE