Individual
MARY MARGARET TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3001 MALLARD DR, DELTONA, FL 32738-8939
(407) 383-3036
Mailing address
3001 MALLARD DR, DELTONA, FL 32738-8939
(407) 383-3036
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
M32768
FL
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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