Individual
MEGAN MARY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 NEIL AVE, COLUMBUS, OH 43215-1609
(614) 228-8888
Mailing address
1289 BURNHAM DR, COLUMBUS, OH 43228-7312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA012174
OH
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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