Individual
TARA L. NUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 AZUL LOOP, SANTA FE, NM 87508-8241
(505) 699-3240
Mailing address
1 AZUL LOOP, SANTA FE, NM 87508-8241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2582
NM
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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