DR. Breonna S Tucker, PT,DPT

NPI #1134990815 in Waldorf, Maryland

Provider Information

NPI Number: 1134990815
Entity Type: Individual
Name: DR. Breonna S Tucker, PT,DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT,DPT
Enumeration Date: Jan 11, 2024
Last Updated: Feb 5, 2024

Practice Location

Address: 3018 FESTIVAL WAY # 323
City: Waldorf
State: Maryland
ZIP Code: 20601-2958
Phone: (240) 754-5520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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