Individual
ROBERT TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4560 SE INTERNATIONAL WAY, CONSONUS REHAB SERVICES, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Mailing address
4560 SE INTERNATIONAL WAY, MILWAUKIE, OR 97222
(971) 206-5140
(971) 206-5209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1156153
TX
225100000X
Physical Therapist
Primary
4047
OR
Other
Enumeration date
09/30/2006
Last updated
07/08/2007
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