Individual
TANYA TUCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3268 MARBON RD, JACKSONVILLE, FL 32223-3218
(904) 886-2997
(904) 216-0471
Mailing address
3268 MARBON RD, JACKSONVILLE, FL 32223-3218
(904) 886-2997
(904) 216-0471
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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