Individual
MISS HALEY B TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16925 HIERBA DR., SAN DIEGO, CA 92128
(786) 877-9788
Mailing address
2420 THRACE ST, TAMPA, FL 33605-6555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10294
FL
225X00000X
Occupational Therapist
4848
CA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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