Individual
HANNAH NICOLE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8458 GLEASON DR, KNOXVILLE, TN 37919-5482
(865) 229-9474
Mailing address
11308 WRENS NEST LN, KNOXVILLE, TN 37932-3000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12649365
TN
Other
Enumeration date
09/10/2021
Last updated
09/13/2021
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