Individual
MACY LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2515 MARSHALL AVE, LORAIN, OH 44052-4337
(440) 830-4130
Mailing address
10050 INNOVATION DR STE 320, MIAMISBURG, OH 45342-4933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
09/12/2024
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