Diana Tucker, PTA
NPI #1083600886 in Ellicott City, Maryland
Provider Information
- NPI Number
- 1083600886
- Entity Type
- Individual
- Name
- Diana Tucker, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 27, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4801 DORSEY HALL DR
- Address 2
- SUITE 130
- City
- Ellicott City
- State
- Maryland
- ZIP Code
- 21042-7766
- Phone
- (410) 730-9851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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