Individual
MRS. KELLY LEIGH AUSTIN TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1317 LOLA AVE, ALTAVISTA, VA 24517-1352
(434) 369-6651
Mailing address
2617 PRESTON MILL RD, HUDDLESTON, VA 24104-4113
(540) 297-8301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004124
VA
Other
Enumeration date
05/02/2008
Last updated
05/02/2008
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