Individual
AMY C COLLINS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
11549 SUTHERLAND DR, WALTON, KY 41094-7412
(859) 485-1121
(859) 485-1121
Mailing address
11549 SUTHERLAND DR, WALTON, KY 41094
(859) 485-1121
(859) 485-1121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1561
KY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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