Individual
MEGAN NOELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3729 IRA E WOODS AVE, GRAPEVINE, TX 76051-4213
(817) 527-7500
Mailing address
3729 IRA E WOODS AVE, GRAPEVINE, TX 76051-4213
(817) 527-7500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214939
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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