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Individual

MR. KEVIN T TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
881 NEW HARWINTON RD, TORRINGTON, CT 06790-5948
(860) 482-0600
(860) 482-0601
Mailing address
465 WOLCOTT RD, WOLCOTT, CT 06716-2613
(203) 879-0107
(203) 879-0206

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12759
CT

Other

Enumeration date
09/15/2020
Last updated
09/15/2020
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