Individual
HOLLY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 TUCKER DR, MAYSVILLE, KY 41056-9111
(855) 584-5845
(855) 584-7323
Mailing address
497 TUCKER DR, MAYSVILLE, KY 41056-9111
(855) 584-5845
(855) 584-7323
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
BOTOTA00217475
KY
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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