Individual
MRS. LADONNA SUE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3201 W COMMERCIAL BLVD STE 116, FORT LAUDERDALE, FL 33309-3431
(186) 332-4729
Mailing address
3304 UMBRELLA TREE DR, EDGEWATER, FL 32141-6507
(186) 332-4729
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19824
FL
Other
Enumeration date
05/03/2007
Last updated
08/14/2023
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