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Individual

MARTHA ANN TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
250 12TH AVE NE, NORMAN, OK 73071-5237
(405) 321-4048
Mailing address
250 12TH AVE NE, NORMAN, OK 73071-5237
(405) 321-4048

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
109666
TX
225XP0200X
Pediatric Occupational Therapist
Primary
494
OK

Other

Enumeration date
01/29/2007
Last updated
03/17/2018
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