Individual
TAMARA LYNN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1331 E LAFAYETTE ST STE F, TALLAHASSEE, FL 32301-4767
(850) 354-8682
Mailing address
9200 EAGLES RIDGE DR, TALLAHASSEE, FL 32312-4134
(850) 320-3311
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13825
FL
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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