Individual
CHERYL TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 S US HIGHWAY 68, SUITE J100, URBANA, OH 43078-9198
(937) 484-1557
Mailing address
29 WEIDNER LN, CENTERVILLE, OH 45458-2244
(937) 439-2681
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.02319
OH
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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