Charles Mahlon Tucker, PTA
NPI #1043853278 in Altamonte Springs, Florida
Provider Information
- NPI Number
- 1043853278
- Entity Type
- Individual
- Name
- Charles Mahlon Tucker, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Oct 21, 2019
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 112 W CITRUS ST
- State
- Florida
- ZIP Code
- 32714-2502
- Phone
- (407) 865-5642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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