Individual
DR. CHASE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
439 CHANNEL RD, SUITE 102, LAKE WYLIE, SC 29710-6102
(803) 746-7800
Mailing address
PO BOX 412066, BOSTON, MA 02241-2066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7852
SC
225100000X
Physical Therapist
P17456
NC
Other
Enumeration date
08/03/2015
Last updated
04/11/2024
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