Individual
WILLIAM TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 E COLLEGE ST, BRIDGEWATER, VA 22812-1511
(540) 828-8000
Mailing address
2400 BRENTWOOD DRIVE, ROCKINGHAM, VA 22801
(540) 476-1164
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003933
VA
Other
Enumeration date
10/22/2021
Last updated
11/22/2023
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