Individual
BRIAN TUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 VERNON ST, WABASH, IN 46992-4026
(260) 563-8438
Mailing address
1955 VERNON ST, WABASH, IN 46992-4026
(260) 563-8438
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31004209A
IN
Other
Enumeration date
10/16/2016
Last updated
10/16/2016
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