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Individual
STEPHANIE ROSE TUCKER
Active
Individual
STEPHANIE ROSE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24083
FL
2255A2300X
Athletic Trainer
050802216
—
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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