Individual
MS. TERESA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6801 S 3RD ST, BROKEN ARROW, OK 74011-7244
(918) 259-4480
(918) 455-9160
Mailing address
6801 S 3RD ST, BROKEN ARROW, OK 74011-7244
(918) 259-4480
(918) 455-9160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01111159
OK
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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