Individual
MRS. MARSHA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4732 UPPER BERKSHIRE RD, FLOWERY BRANCH, GA 30542-3690
(770) 316-8159
Mailing address
4732 UPPER BERKSHIRE RD, FLOWERY BRANCH, GA 30542-3690
(770) 316-8159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000960
GA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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