Individual
MR. DAVID CUSHING TUCKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
11200 GOVERNOR MANLY WAY, RALEIGH, NC 27614
(919) 562-9410
Mailing address
13605 OLD CREEDMOOR RD, WAKE FOREST, NC 27587
(919) 264-3391
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8702
NC
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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