Individual
PERRI ANN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3715 W 133RD ST, LEAWOOD, KS 66209-3347
(913) 213-3531
Mailing address
8340 MISSION RD, PRAIRIE VILLAGE, KS 66206-1355
(913) 213-3531
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
17-03670
KS
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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