MRS. Dale Agnes Tucker, LPTA

NPI #1366576779 in Leesburg, Florida

Provider Information

NPI Number: 1366576779
Entity Type: Individual
Name: MRS. Dale Agnes Tucker, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Mar 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 600 W NORTH BLVD
Address 2: SUITE D
City: Leesburg
State: Florida
ZIP Code: 34748-5063
Phone: (352) 787-9300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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