Individual
CORY R TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
305 N 5TH AVE SW, ROME, GA 30165-2837
(706) 292-0040
(706) 378-0556
Mailing address
100 THREE RIVERS DR NW STE A, ROME, GA 30161-4999
(706) 528-9024
(706) 528-9039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009926
GA
Other
Enumeration date
05/28/2010
Last updated
06/09/2022
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