Individual
MRS. DEBRA MARIE WILLING-TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002229
MI
225XE0001X
Environmental Modification Occupational Therapist
5201002229
MI
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
5201002229
MI
225XM0800X
Mental Health Occupational Therapist
5201002229
MI
225XN1300X
Neurorehabilitation Occupational Therapist
5201002229
MI
225XP0019X
Physical Rehabilitation Occupational Therapist
5201002229
MI
225XP0200X
Pediatric Occupational Therapist
5201002229
MI
Other
Enumeration date
04/02/2015
Last updated
04/02/2015
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