Individual
MRS. RUTH KNIGHT TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 HORIZON DR STE 310, RALEIGH, NC 27615-4926
(919) 424-5080
Mailing address
106A GILDER CREEK DR APT A, SIMPSONVILLE, SC 29681-4228
(864) 256-3512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5102
SC
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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