Individual
DEVON KAY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
10 BRENTWOOD DR STE A, ITHACA, NY 14850-1866
(607) 274-4159
Mailing address
183 LUDLOWVILLE RD, LANSING, NY 14882-9039
(607) 382-5371
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022173
NY
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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