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Individual
MRS. LORI GILLIAM TUCKER
Active
Individual
MRS. LORI GILLIAM TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
OT12202
FL
225X00000X
Occupational Therapist
Primary
OT12202
FL
225XL0004X
Low Vision Occupational Therapist
OT12022
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT12202
FL
Other
Enumeration date
03/05/2014
Last updated
05/05/2019
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