Individual
GINA TUCKER-ROGHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
717 MONTCLAIR DR, SANTA ROSA, CA 95409-2821
(707) 539-3328
Mailing address
717 MONTCLAIR DR, SANTA ROSA, CA 95409-2821
(707) 539-3328
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5543
CA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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