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Individual

MRS. JENNA TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT, CBIS

Contact information

Practice address
18-01 POLLITT DR STE 1A, FAIR LAWN, NJ 07410-2815
(201) 478-4200
Mailing address
18-01 POLLITT DR STE 1A, FAIR LAWN, NJ 07410-2815
(201) 478-4200

Taxonomy

Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
40QA01399700
NJ

Other

Enumeration date
06/17/2014
Last updated
06/17/2014
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