Individual
ANNA CHRISTINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
(763) 236-7337
Mailing address
3111 124TH AVE NW, COON RAPIDS, MN 55433-4572
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104443
MN
Other
Enumeration date
05/20/2013
Last updated
04/06/2020
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