Individual
ALEXANDRA ELIZABETH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
43507 N IRONWOOD DR # AZ, SAN TAN VALLEY, AZ 85140-9312
(480) 757-2253
Mailing address
43507 N IRONWOOD DR, SAN TAN VALLEY, AZ 85140-9312
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047095
AZ
Other
Enumeration date
07/06/2022
Last updated
07/07/2022
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