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Individual
ANGELA J TUCKER
Active
Individual
ANGELA J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
8159
MA
225XG0600X
Gerontology Occupational Therapist
Primary
1812
NH
Other
Enumeration date
11/16/2012
Last updated
04/21/2023
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