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Individual

MELISSA JEAN TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1901 W HIGHWAY 90, MONTICELLO, KY 42633-2460
(606) 348-6034
Mailing address
191 HILL CREEK DR, MONTICELLO, KY 42633-1398

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
03/12/2018
Last updated
03/12/2018
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