Grace M Tucker, PT

NPI #1386863827 in Kenilworth, Illinois

Provider Information

NPI Number: 1386863827
Entity Type: Individual
Name: Grace M Tucker, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 24, 2007
Last Updated: Jul 27, 2017

Practice Location

Address: 554 GREEN BAY RD STE B
City: Kenilworth
State: Illinois
ZIP Code: 60043-1086
Phone: (847) 256-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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