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Individual

MS. KAREN TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2918 HAWKINS DR., SEARCY, AR 72143
(501) 279-9255
(501) 279-9257
Mailing address
2918 HAWKINS DR., SEARCY, AR 72143
(501) 279-9255
(501) 279-9257

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1616
AR
225200000X
Physical Therapy Assistant
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150032721
AR
Enumeration date
12/08/2006
Last updated
01/05/2017
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