Individual
MRS. GAIL E HUECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
335 NE 10TH AVE, CRYSTAL RIVER, FL 34429-4456
(352) 795-5552
(352) 795-7751
Mailing address
124 JONQUIL CT, MOORESVILLE, NC 28117-6677
(704) 696-8344
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT8510
FL
225X00000X
Occupational Therapist
Primary
9010
NC
225X00000X
Occupational Therapist
OT8510
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1244904
UNITED HEALTHCARE
FL
01
—
1427076132
TRI-CARE
FL
05
—
1427076132
—
NC
05
—
884408900
—
FL
01
—
Z9082
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/18/2006
Last updated
03/07/2024
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