Dianne M Tennant Rucker, OTRL

NPI #1316091036 in Mahomet, Illinois

Provider Information

NPI Number: 1316091036
Entity Type: Individual
Name: Dianne M Tennant Rucker, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Jan 22, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 905 N RIVERVIEW LN
City: Mahomet
State: Illinois
ZIP Code: 61853-9768
Phone: (217) 621-5429

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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