Individual
MADELINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N 92ND ST, MILWAUKEE, WI 53226-3533
(414) 259-1414
Mailing address
W281N8642 HIDEAWAY DR, HARTLAND, WI 53029-9071
(414) 416-8670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
8183
WI
Other
Enumeration date
11/13/2019
Last updated
05/01/2023
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