Individual
HOLLIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Mailing address
4631 LILA DR, HILLSBORO, MO 63050-1939
(314) 660-6968
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019027357
MO
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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