Individual
LINDA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
89 MIDLAND DR, PERRY BROWNE SCHOOL, NORWICH, NY 13815-1948
(607) 334-1600
Mailing address
89 MIDLAND DR, PERRY BROWNE SCHOOL, NORWICH, NY 13815-1948
(607) 334-1600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004365-1
NY
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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