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Individual

DR. JENNIFER CLARK TUCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7659 GARNERS FERRY RD, COLUMBIA, SC 29209-3857
(803) 695-6150
Mailing address
12 LAVINGTON CT, COLUMBIA, SC 29209-1944
(843) 222-3293

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5642
SC

Other

Enumeration date
08/26/2008
Last updated
01/23/2012
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