Individual
MRS. ANNA KATHERINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1052 CARDINAL DR, RICHWOOD, TX 77566
(979) 824-2818
Mailing address
1052 CARDINAL DR, RICHWOOD, TX 77566
(979) 824-2818
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210386
TX
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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