Individual
MRS. KIMBERLY ANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6508 GUNN HIGHWAY, TAMPA, FL 33625
(813) 963-6923
(813) 264-0768
Mailing address
6508 GUNN HIGHWAY, TAMPA, FL 33625
(813) 963-6923
(813) 264-0768
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT16254
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010928100
—
FL
Enumeration date
04/15/2014
Last updated
01/09/2026
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