Individual
MR. ANDREW MARK TUCCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
12 PINEBROOK LN, WORCESTER, MA 01609-1081
(508) 767-9906
Mailing address
12 PINEBROOK LN, WORCESTER, MA 01609-1081
(508) 767-9906
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AH 1354-AT
MA
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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