Gary Tucker
NPI #1083929400 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1083929400
- Entity Type
- Individual
- Name
- Gary Tucker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Enumeration Date
- Aug 10, 2010
- Last Updated
- Aug 10, 2010
Practice Location
- Address
- 310 AUTUMN RIDGE DR
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3242
- Phone
- (662) 289-3499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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