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Individual

COLTON TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1201 S CLEARVIEW PKWY BLDG B, NEW ORLEANS, LA 70121-1015
(504) 734-1472
Mailing address
PO BOX 7902, MONROE, LA 71211-7902

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
SP232744

Other

Enumeration date
09/20/2024
Last updated
09/20/2024
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